[1]肖克峰,杨江根,尹朝辉,等.腹腔镜下肾切除术26例临床报告[J].中国微创外科杂志,2004,04(2):91-92.
　Xiao Kefeng,Yang Jianggen,Yin Zhaohui,et al.Laparoscopic nephrectomy: A clinical report of 26 cases[J].Chinese Journal of Minimally Invasive Surgery,2004,04(2):91-92.
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腹腔镜下肾切除术26例临床报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年2期
页码:
91-92
栏目:
出版日期:
2004-02-20

文章信息/Info

Title:
Laparoscopic nephrectomy: A clinical report of 26 cases
作者:
肖克峰; 杨江根; 尹朝辉; 黄东龙; 陈彤; 章道恒
暨南大学附属深圳市人民医院泌尿外科,深圳,518020
Author(s):
Xiao Kefeng;  Yang Jianggen;  Yin Zhaohui;  et al
Department of Urology, Affiliated Shenzhen People‘sHospital ofJinan University, Shenzhen518020, China
关键词:
肾;  腹腔镜;  肾切除
Keywords:
Kidney; 　Laparoscopy; 　Nephrectomy
分类号:
R699.2
文献标志码:
A
摘要:
目的评价腹腔镜下肾切除术的临床应用价值. 方法应用腹腔镜行肾切除术26例,其中经腹腔途径19例,经腹膜后途径7例.包括肾癌根治术8例,肾输尿管全切术7例(其中肾盂癌2例,输尿管癌5例),无功能和萎缩肾6例,活体供肾取肾术5例. 结果手术均获成功,手术时间120～250 min,平均190 min,出血量50～200 ml,平均130 ml,均未输血,无手术并发症.肾肿瘤8例平均随访16个月,肾输尿管全切7例平均随访20个月,其中1例输尿管肿瘤局部复发,余均无肿瘤局部复发和远处转移. 结论腹腔镜下行肾切除术可行,创伤小,术中出血少,术后恢复快.
Abstract:
Objective　To evaluate the clinical value of laparoscopic nephrectomy.　Methods　Laparoscopic nephrectomywas used in 26 cases (transperitoneal approach in 19 cases and retroperitoneal approach in 6 cases), including 8 cases of radical resection of renal can- cer, 7 cases of total resection of kidney and ureter (2 cases of carcinoma of renal pelvis and 5 cases of carcinoma of ureter), 6 cases of non- functioning or atrophic kidney and 5 cases of living donor nephrectomy.　Results　All the operationswere accomplished successfully. The op- erative time was 120 min ~ 250 min (mean, 190 min) and the intraoperative blood loss was 50 ml ~ 200 ml (mean, 130 ml). No blood transfusion was needed and no operative complications occurred. Follow-up for a mean of 16 months in 8 cases of renal cancer and 20 months in 7 cases of total resection of kidney and ureter revealed no recurrence or metastasis except for 1 case of local recurrence of ureteral carcino- ma.　Conclusions　The laparoscopic nephrectomy has the advantages of minimal invasion, less blood loss and rapid recovery.

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更新日期/Last Update: 2014-05-14