摘要
目的探讨腹腔镜肿瘤切除联合吸除法治疗中央型巨大肾错构瘤的手术技巧及临床疗效。方法回顾性分析大连医科大学附属第二医院2015年11月收治的1例中央型巨大肾错构瘤患者的临床资料并查阅相关文献。结果本例患者顺利于后腹腔镜下行手术治疗,手术时间200 min,热缺血时间45 min,术中出血1 200 ml,术中输血600 ml。术后病理确诊为右肾血管平滑肌脂肪瘤。术后住院时间6天,术后5天离床活动。随访9个月肾功正常,未见肿瘤复发和转移。结论腹腔镜肿瘤切除联合吸除法用于治疗复杂中央型肾错构瘤是一种安全、有效、微创的手术方式,但对于巨大肾错构瘤,肿瘤吸除后创面大、易出血,有关并发症及肿瘤学效果有待进一步研究。
Objective To evaluate the surgical techniques and clinical efficacy of laparoscopic resection combined with aspiration for central renal angiomyolipoma. Methods The clinical data of one case with giant central renal angiomyolipoma who underwent laparoscopic resection and aspiration in our hospital in November 2015 were analyzed and relevant literatures were reviewed. Results The case successfully underwent retroperitoneal laparoscopic resection of right renal angiomyolipoma. Operative time was 200 min, warm ischemia time was 45 min, the blood loss was 1200 ml and intraoperative transfusion was 600 ml. Postoperative pathology confirmed the diagnosis of right renal angiomyolipoma. Postoperative hospital stay was 6 days, ambulation time was 5 days. Followed up for 9 months with normal renal function and no tumor metastasize or recurrence. Conclusions Laparoscopic resection and aspiration for complex renal angiomyolipoma is a feasible, safe and effective minimally invasive procedure. But for giant renal agiomyolipoma, large wound and bleeding occur after aspiration related complications and oncological outcomes that need further study.
出处
《中华腔镜泌尿外科杂志（电子版）》
2017年第6期30-32,共3页
Chinese Journal of Endourology(Electronic Edition)
基金
辽宁省科学技术计划项目(2015020289)
关键词
肾错构瘤
保留肾单位
吸除法
腹腔镜
Renal angiomyolipoma
Nephron-sparing
Aspiration
Laparoscopic
