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目的探讨后腹腔镜下肾癌根治性切除的疗效。方法对26例肾癌患者行后腹腔镜肾癌根治性切除术,肿瘤大小1～5cm,平均3.2cm。术前分期T1N0M010例,T2N0M016例。结果手术时间60～150min,平均105min,出血量50～800ml,平均120ml。中转开腹1例,原因为肾静脉损伤出血。随访6～36个月,26例均无瘤生存。结论后腹腔镜下肾癌根治术切口小,恢复快,效果好,值得临床推广。
Objective To investigate the effect of retroperitoneal laparoscopic radical nephrectomy. Methods 26 cases of renal cell carcinoma underwent laparoscopic radical nephrectomy. The tumor size was 1 ~ 5cm, with an average of 3.2cm. Preoperative T1N0M010 cases, T2N0M016 cases. Results The operation time was 60 ~ 150min, with an average of 105min and the amount of bleeding was 50 ~ 800ml with an average of 120ml. Transferred to the open in 1 case, due to renal vein injury bleeding. All the patients were followed up for 6 to 36 months, and no tumor was found in 26 patients. Conclusions Laparoscopic radical nephrectomy incision small, fast recovery, effective, worthy of clinical promotion.