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目的:探讨后腹腔镜肾部分切除术治疗T1期肾癌的临床经验及疗效。方法:回顾性分析2014年1~12月收治31例T1期肾癌患者的临床资料,男19例,女12例,平均年龄(52.0±12.8)岁。左侧13例,右侧18例。肿瘤平均直径(2.7±1.4)cm。患者均行后腹腔镜肾部分切除术。结果:手术均顺利完成,无中转开放,术中及术后未见并发症。平均手术时间(103.6±27.3)min,术中平均热缺血时间(23.0±8.1)min,术中平均出血量(40.0±22.6)ml,术后平均住院时间(5.0±0.6)d。术后病理示手术切缘组织均为阴性。术后平均随访时间(6.3±4.2)个月,所有患者肾功能正常且肿瘤无局部复发及远处转移。结论:后腹腔镜肾部分切除术治疗T1期肾癌安全、可行,创伤小、恢复快,同时可最大限度保留患者肾功能。
Objective: To investigate the clinical experience and curative effect of retroperitoneoscopic partial nephrectomy for stage T1 renal cell carcinoma. Methods: The clinical data of 31 patients with T1 stage renal cell carcinoma from January to December 2014 were retrospectively analyzed. There were 19 males and 12 females, with an average age of (52.0 ± 12.8) years. Left in 13 cases, right in 18 cases. The average tumor diameter (2.7 ± 1.4) cm. Patients underwent laparoscopic partial nephrectomy. Results: The operation was successfully completed, no transit to open, intraoperative and postoperative complications. The average operation time was (103.6 ± 27.3) min, mean intraoperative warm ischemia time was (23.0 ± 8.1) min, mean intraoperative blood loss was (40.0 ± 22.6) ml and average postoperative hospital stay was (5.0 ± 0.6) days. Postoperative pathology showed surgical margins were negative. The average follow-up time was (6.3 ± 4.2) months after operation. All patients had normal renal function and no tumor recurrence and distant metastasis. Conclusion: Retroperitoneal laparoscopic partial nephrectomy for the treatment of T1 stage renal carcinoma is safe, feasible, less traumatic and quicker recovery. At the same time, renal function can be preserved to the maximum extent.