[1]袁道彰﹡① 都兴华① 石利平① 李靖 郑舜升 王斌 杨建安 苏泽轩①.经腹腹腔镜与后腹腔镜治疗上尿路尿路上皮癌的比较研究[J].中国微创外科杂志,2016,16(09):812-815.
　Yuan Daozhang*,Du Xinghua,Shi Liping,et al.Transperitoneal Versus Retroperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma[J].Chinese Journal of Minimally Invasive Surgery,2016,16(09):812-815.
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经腹腹腔镜与后腹腔镜治疗上尿路尿路上皮癌的比较研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年09期
页码:
812-815
栏目:
临床研究
出版日期:
2016-09-09

文章信息/Info

Title:
Transperitoneal Versus Retroperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
作者:
袁道彰﹡① 都兴华① 石利平① 李靖 郑舜升 王斌 杨建安 苏泽轩①
（广州医科大学附属肿瘤医院泌尿外科，广州510095）
Author(s):
Yuan Daozhang*;  Du Xinghua;  Shi Liping;  et al.
*Department of Urology, Affiliated Tumor Hospital of Guangzhou Medical University, Guangzhou 510095, China
关键词:
腹腔镜; 尿路上皮癌; 输尿管肿瘤
Keywords:
Laparoscopy; Urothelial carcinoma; Ureteral neoplasms
文献标志码:
A
摘要:
目的探讨完全腹腔镜下肾输尿管全长切除、膀胱袖状切除术治疗上尿路尿路上皮癌的有效性和安全性。方法回顾性分析2010年10月~2015年10月上尿路尿路上皮癌79例资料，其中经腹完全腹腔镜下肾输尿管全长切除及膀胱袖状切除术47例（CTLNU组），后腹腔镜肾输尿管全长切除+下腹部小切口膀胱袖状切除术32例（RLNU组）。记录手术时间、术中出血量、术后肛门排气时间和术后住院时间。结果与RLNU组相比，CTLNU组手术时间短［（120.5±21.6）min vs. （145.2±29.9）min, t=-4.265, P=0.000］，术中出血量少［（120.8±42.4）ml vs. （190.6±60.8）ml, t=-6.017, P=0.000］，术后住院时间短［（8.2±2.5）d vs. （9.9±3.2）d， t=-2.646, P=0.010］；术后肛门排气时间差异无统计学意义（P>0.05）。CTLNU组和RLNU组随访发现膀胱尿路上皮癌分别为5例和3例（P>0.05），行经尿道膀胱肿瘤电切术治愈，远处转移分别为2例和3例（P>0.05）。结论完全腹腔镜下肾输尿管全长切除、膀胱袖状切除术是治疗上尿路尿路上皮癌的可行、安全、有效的微创方法。
Abstract:
ObjectiveTo evaluate the effectiveness and safety of complete transperitoneal laparoscopic nephroureterectomy (CTLNU) for upper tract urothelial carcinoma (UTUC).MethodsBetween October 2010 and October 2015, a total of 79 patients with UTUC were assigned to receive either CTLNU (CTLNU group, n=47) or retroperitoneal laparoscopic nephroureterectomy (RLNU group, n=32). The operation time, intraoperative blood loss, postoperative anal exhaust time, and number of postoperative hospitalization days were recorded.Results As compared with the RLNU group, the operation time was significantly shorter in the CTLNU group ［(120.5±21.6) min vs. (145.2±29.9) min, t=-4.265, P=0.000］, the intraoperative blood loss was significantly less in the CTLNU group ［(120.8±42.4) ml vs. (190.6±60.8) ml, t=-6.017, P=0.000］, and the number of postoperative hospitalization days was significantly lower in the CTLNU group ［(8.2±2.5) d vs. (9.9±3.2) d, t=-2.646, P=0.010］. Whereas there was no significant difference in postoperative anal exhaust time between the two groups (P>0.05). There were 5 cases and 3 cases of urinary bladder epithelial cell carcinoma in the CTLNU group and the RLNU group during the followup, respectively (P>0.05), which were treated with bladder tumor transurethral resection. Distant metastasis was found in 2 cases in the CTLNU group and 3 cases in the RLNU group (P>0.05). ConclusionComplete transperitoneal laparoscopic nephroureterectomy is a minimally invasive, feasible, safe and effective way to treat UTUC.

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备注/Memo

备注/Memo:
﹡通讯作者，Email:daozhangyuan@163.com①（暨南大学附属第一医院泌尿外科，广州510630）
更新日期/Last Update: 2016-12-09