高级检索

    腹腔镜下解剖程序化肾部分切除术治疗T1期肾肿瘤的临床体会

    Clinical experience of laparoscopic anatomically programmed partial nephrectomy for T1 renal tumor

    • 摘要: 目的 探讨后腹腔镜下解剖程序化肾部分切除术治疗T1期肾肿瘤的临床体会。方法 回顾性分析行腹腔镜下解剖程序化肾部分切除术的30例T1期肾肿瘤患者的临床资料,记录手术时间、肾脏热缺血时间、术后引流量、引流管拔除时间、卧床时间、术后住院天数及近期并发症情况。结果 30例手术均顺利完成,平均手术时间(72.63±16.62) min,平均肾脏热缺血时间(19.67±5.12) min,平均术后引流量(40.66±15.36) ml,平均引流管拔除时间(1.70±0.45) d,平均卧床时间(1.80±0.70) d,平均术后住院天数(4.70±1.40) d。所有患者术后无出血、进展性血尿、尿瘘等并发症。结论 腹腔镜下解剖程序化肾部分切除术能安全有效地降低肾脏创面出血风险,减少术后卧床时间,对T1期肾肿瘤的治疗安全、可靠,值得临床推广,但对术者的内镜缝合技术有更高的要求。

       

      Abstract: Objective To explore the clinical experience of the treatment of T1 stage renal tumor by retroperitoneal laparoscopic anatomically programmed partial nephrectomy. Methods The clinical data of 30 patients with T1 stage renal tumor who underwent laparoscopic anatomically programmed partial nephrectomy were analyzed retrospectively. The operation time, renal warm ischemia time, postoperative drainage volume, drainage tube extraction time, time in bed, postoperative hospital stay and short-term postoperative complications were recorded. Results All the operations were completed successfully. The average operation time was (72.63 ± 16.62) min, the average renal warm ischemia time was (19.67 ± 5.12) min, the average postoperative drainage flow was (40.66 ± 15.36) ml, the average drainage tube removal time was (1.70 ± 0.45) d, the average time in bed was (1.80 ± 0.70) d, and the average postoperative hospital stay was (4.70 ± 1.40) d. All patients had no complications such as bleeding, progressive hematuria and urinary fistula. Conclusions Laparoscopic anatomically programmed partial nephrectomy is safe and effective in reducing the risk of renal wound bleeding and time in bed. It is safe and reliable for the treatment of T1 stage renal tumor and worthy of clinical promotion. However, there are higher requirements for the surgeon's endoscopic suture technique.

       

    /

    返回文章
    返回