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目的探讨经腹腹腔镜肾癌根治术的技术要点及经验总结。方法回顾分析86例行后腹腔镜肾癌根治性切除术的临床资料。结果85例腹腔镜肾癌根治手术获成功。1例因肾静脉损伤转开放性手术,出血800 ml,输血800 ml。1例出现肺转移,2例腹膜损伤,2例出现皮下气肿。手术时间50~150 min,平均100 min。术中出血量50~800 ml,平均150 ml。术后5~8 d出院,恢复良好。随访3个月至2年,失访2例,肺转移1例,无穿刺空种植转移,因其他原因死亡1例。结论经腹腹腔镜肾癌根治术损伤小、安全有效、恢复快。
Objective To investigate the technical points and experience of radical laparoscopic radical nephrectomy. Methods Retrospective analysis of 86 cases of retroperitoneal laparoscopic radical nephrectomy clinical data. Results 85 cases of laparoscopic radical nephrectomy was successful. 1 case of renal vein injury due to open surgery, bleeding 800 ml, 800 ml of blood transfusions. One case had lung metastases, two cases of peritoneal injury and two cases of subcutaneous emphysema. Surgery time 50 ~ 150 min, an average of 100 min. Intraoperative bleeding 50 ~ 800 ml, an average of 150 ml. The patients were discharged from 5 to 8 days after operation and recovered well. Followed up for 3 months to 2 years, 2 cases were lost to follow-up, 1 case of lung metastasis, no puncture and emptying metastasis, 1 case died of other reasons. Conclusions Transabdominal laparoscopic radical nephrectomy is less invasive, safe and effective.