摘要
目的：总结后腹腔镜治疗肾盂及输尿管肿瘤的临床经验。方法：采用后腹腔镜技术切除肾脏,采用患侧下腹切口取出肾标本,并向下行输尿管及膀胱袖状切除。结果：本组25例手术顺利,无1例中转开放手术,手术时间2.5~4 h,平均3 h。出血量60~200 ml,平均100 ml,术中无1例输血。术后24~48 h下床活动。术后病理报告：25例均为移行上皮癌。术后平均住院时间9 d。术后常规行膀胱灌注化疗,定期膀胱镜检查。21例获随访,随访时间6~33个月,其中1例肾盂癌术后6个月发生膀胱癌,2例输尿管癌术后分别于18个月,23个月发生膀胱癌,均行TURBT治愈。1例输尿管下段癌术后26个月盆腔转移,行放射治疗。目前随访21例均存活,20例无瘤存活,1例带瘤存活。结论：腹膜后腹腔镜治疗肾及输尿管肿瘤,患者创伤小,疼痛轻,术后恢复快,目前已成为泌尿外科医生主要的手术方法。
Objective： To report our experience with retroperitoneal laparoscopy with treatment of renal pelvic and ureteral tumors. Methods： Exieision of kidney by retroperitoneal laparoseopy ;then an incision was created in lower abdomen toallow dissection of the distal ureter and bladder- cuff and intact specimen extrac- tion. Results：25 cases performed successfully. The average duration of operation was 3 h （varied between 2. 5- 4h）, the average volume of bleeding was 100 ml（varied between 60-200 mI）. Postoperative pathology showed transitional cell carcinoma in 25 cases . The patients activity recovered in 24 - 48 h of the operation. The mean hospital stay was 9 days . Postoperative vesical irrigation was performed. 21cases were followed up between 6 - 33 months, 1 patient developed pelvic metastasis and was alive with the tumor. The other 20 patients survived free of tumorto date. 2 patients had recurrent transitional cell carcinoma of bladder. Conclusions- Our data demonstrate that retroperitoneoscopic nephroureterectomy for venal pelvic and ureteral tumors has shorter inci- sion and more rapid postoperative vecovery compared with open surgery. Retroperitoneoscopic nephrouretereetomy with bladder - cuff excision can be selected surgical treatment for renalpelvic and ureteral tumors.
出处
《内蒙古医学杂志》
2009年第8期921-922,共2页
Inner Mongolia Medical Journal
关键词
肾盂肿瘤
输尿管肿瘤
后腹腔镜
Renal pelvic tumor
Ureteral tumor
Retroperitoneal laparoscopy
