摘要
目的评价后腹腔镜下bulldog夹阻断肾动脉连续缝合行肾部分切除术的临床疗效及价值。方法回顾性分析24例后腹腔镜肾部分切除术患者的一般临床资料、手术结果及预后情况。结果所有患者手术均成功,术中无输血及中转开腹手术,平均手术时间为143.3min,平均热缺血时间为24min;术后无继发出血、感染及漏尿,术后病理检查证实8例为肾透明细胞癌,16例为平滑肌脂肪瘤;随访2～36个月无转移、局部复发。结论后腹腔镜下bulldog夹阻断肾动脉连续缝合行肾部分切除术治疗直径小于4.5cm肾肿瘤安全、有效。
Objective To evaluate clinical efficacy and value of retroperitoneal laparoscopic partial nephrectomy utilizing bulldog clamp blocking renal artery and continuous suture technique. Methods 24 cases of retroperitoneal laparoscopic partial nephrectomy in patients were retrospectively analyzed,with the clinical data, surgical results, prognosis for their treatment. Results All opera- tions were successful without intraoperative conversion and transfusion, and no post-operative bleeding,inflammation and leakage of urine was found. The average operative time was 143.3 rain, the average warm ischemia time was 24 min. Pathology showed 8 cases of renal cell carcinoma, 16 cases of angiomyolipoma. The follow-up time was 2--36 months without local recurrence and metastasis. Conclusion retrooeritoneal laoaroscooic oartial neohrectomv for diameter less than 4.5cm renal tumor is safe and effective.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第33期3346-3347,3349,I0002,共4页
Chongqing medicine
关键词
腹腔镜
肾肿瘤
肾部分切除术
laparoscopes
kidney neoplasms
partial nephrectomy
