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目的探讨不阻断肾蒂腹腔镜下行肿瘤剜除术治疗较小肾血管平滑肌脂肪瘤(RAML)的应用效果。方法采用腹腔镜经腹腔途径在不阻断肾蒂情况下对10例较小RAML(肿瘤直径<4cm)行肿瘤剜除术,并观察手术时间、术中出血量、术后住院天数和术中术后并发症及手术效果。结果10例手术全部获得成功,平均手术时间为90min,平均出血量80ml,平均术后住院时间为7d,手术效果好,无并发症,随访3~19个月,未见肿瘤转移或复发。结论该术式肿瘤切除精确彻底,创伤小,出血少,恢复快。
Objective To investigate the effect of laparoscopic radical nephrectomy in the treatment of small renal angiomyolipoma (RAML). Methods Laparoscopic transabdominal approach without adjuvant to the renal pedicle of 10 cases of smaller RAML (tumor diameter <4cm) tumor resection, and to observe the operation time, intraoperative blood loss, postoperative hospital stay and intraoperative Postoperative complications and surgical results. Results All the 10 surgeries were successful. The average operation time was 90 min and the mean bleeding volume was 80 ml. The average postoperative hospital stay was 7 days. The operative effect was good and no complications were observed. No tumor metastasis or recurrence was observed during the follow - up of 3 to 19 months. Conclusion The surgical resection is complete and accurate, with less trauma, less bleeding and faster recovery.