摘要
目的:分析一种新的肾部分切除术外科技术治疗肾门前后唇巨大肿瘤的可行性,有效性和安全性。方法:2013年6月~2014年11月对18例肾门前后唇巨大肿瘤患者运用一种新的肾部分切除外科技术进行治疗。观察记录并分析手术时间、术中出血量、温缺血时间、围手术期严重并发症的发生情况、术后恶性肿瘤切缘阳性的情况、住院日、术后3~12个月术侧肾功能及肿瘤复发情况等。结果:18例手术无中转开腹手术。平均手术时间150min。平均温缺血时间25min。平均术中出血120ml,术中修补肾静脉破损1例。围手术期无出血、尿瘘等严重并发症。病理提示15例肾细胞癌,切缘均为阴性;3例肾血管平滑肌脂肪瘤。平均住院8d。术后6~12个月随访无一例放射学复发,术侧肾小球滤过率上升小于8ml/min。结论:新的肾部分切除外科技术治疗肾门肿瘤是可行、安全和有效的。
Objective:To estimate the feasibility,efficiency,safety of a new surgical technique used in the partial nephrectomy for the renal hilar tumors localizing at renal lips.Methods:18 patients with renal hilar tumors at renal lips underwent partial nephrectomy using a new surgical technique between June 2013 and November 2014.The oper-ative time,intraoperative blood loss,time of warm ischemia,perioperative serious complications,positive margin status of the tumor specimens,hospital staying days,renal function on affected kidney of 3-12 months follow-up and status of recurrence were recorded and analyzed.Results:No surgeries were converted to open method.The mean op-erative time was 1 50 minutes.The mean warm ischemia was 25 minutes.One repair for the defect at renal vein was performed.The severe perioperative complications such as serious blood loss and urine leakage were not recorded. Thehistopathology confirmed 1 5 of renal cell carcinoma with negative margin and 3 renal angiomyolipoma.The mean hospital staying days were 8 days.No radiologicalrecurrence was found in the 3-12 months period of follow-up.The increase of the GFR on affected kidney was less than 8 mL/min.Conclusions:Our new surgical technique used in the partial nephrectomy for the renal hilar tumors localizing at renal lips was feasible,efficient,and safe.
出处
《微创泌尿外科杂志》
2015年第3期163-166,共4页
Journal of Minimally Invasive Urology
基金
863计划微创外科新技术研究及产品开发(2012AA021100)
关键词
新的肾部分切除术外科技术
肾门肿瘤
retrograde renal hilar resection
' Furbelow' hilar suture for renal wound
renal hilar tumor
