[1]杨江根,张轶庠,方列奎.经腹腹腔镜肾癌根治术（附70例报告）[J].中国微创外科杂志,2008,08(1):61-69.
　Yang Jianggen,Zhang Yixiang,Fang Liekui..Transperitoneal Laparoscopic Radical Nephrectomy: Report of 70 cases[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):61-69.
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经腹腹腔镜肾癌根治术（附70例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年1期
页码:
61-69
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
Transperitoneal Laparoscopic Radical Nephrectomy: Report of 70 cases
作者:
杨江根; 张轶庠; 方列奎
暨南大学第二临床学院深圳市人民医院泌尿外科，深圳518020
Author(s):
Yang Jianggen;  Zhang Yixiang;  Fang Liekui.
Department of Urology, Second Affiliated Hospital of Jinan University,Shenzhen People’s Hospital, Shenzhen 518020, China
关键词:
肾肿瘤; 腹腔镜手术; 肾癌
Keywords:
Renal neoplasm; Laparoscopy; Renal cancer
分类号:
R737.11
文献标志码:
A
摘要:
目的探讨经腹途径腹腔镜肾癌根治切除术的技术要点及临床价值。 方法采用经腹途径腹腔镜肾癌根治术，切开侧腹膜后，首先处理肾蒂血管，然后行肾癌根治术。结果70例手术全部成功，无中转开放手术，手术时间90～230 min，平均130 min。术中及术后均未输血。2例切口感染，4例皮下气肿。术后住院4～8 d，平均6.2 d。70例随访2～78个月，平均47个月，无肿瘤复发。结论经腹途径腹腔镜肾癌根治术具有创伤小，安全有效，恢复快等优点，具有良好的临床应用前景。
Abstract:
ObjectiveTo explore the surgical skills and clinical value of transperitoneal laparoscopic radical nephrectomy.MethodsLaparoscopic radical nephrectomy was performed on 70 patients with renal cancers through the transperitoneal approach. After the lateral peritoneum was dissected, the vessels in the renal pedicle was controlled and the nephrectomy was carried out.ResultsThe transperitoneal laparoscopic radical nephrectomy was completed in all the 70 patients without conversion to open surgery. The operation time was 90-230 min with a mean of 130 min. No patient received blood transfusion intra and postoperation. No severe complications occurred in this series. The hospital stay was 4-8 d with a mean of 6.2 d. The patients were followed up for 2-78 months (mean, 47); no recurrence of renal tumor was found during this period.ConclusionsTransperitoneal laparoscopic radical nephrectomy shows high clinical value owing to its advantages in minimal injury, safety, feasibility, and quick postoperative recovery.

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更新日期/Last Update: 2013-10-22