CAJ | 학술논문

目的探讨应用经尿道钬激光离断输尿管的手术方式在上尿路肿瘤根治术中的应用价值.方法经尿道采用钬激光环切输尿管口,离断输尿管,肾输尿管全长切除治疗肾盂癌4例. 结果对4例肾盂癌采用本方法处理输尿管后,输尿管全段完整切除,平均手术时间8 min,术后无出血、感染、尿外渗.随访1~13个月,平均8个月,未见复发. 结论对于上尿路肿瘤需行输尿管全段切除者,本方法既能在术中进一步检查膀胱内情况并可作相应处理,又可减少手术创伤,是一种良好的微创术式.
목적 탐토응용경뇨도화격광리단수뇨관적수술방식재상뇨로종류근치술중적응용개치.방법 경뇨도채용화격광배절수뇨관구,리단수뇨관,신수뇨관전장절제치료신우암4례. 결과대4례신우암채용본방법처리수뇨관후,수뇨관전단완정절제,평균수술시간8 min,술후무출혈、감염、뇨외삼.수방1~13개월,평균8개월,미견복발. 결론대우상뇨로종류수행수뇨관전단절제자,본방법기능재술중진일보검사방광내정황병가작상응처리,우가감소수술창상,시일충량호적미창술식.
Objective To improve surgical technique in the treatment of renal pelvic and ureteral tumors. Methods 4 patients were enrolled the study and analysed. All patients underwent transurethral excision of bladder cuff and retroperitoneal nephroureterectomy. Results All patients gained one-stage recovery. The average operation-time is eight minute. There were no complications such as bleeding, infection and urine leakage. All patients were followed up for 1 to 13 months(average 8 months), and no recurrence were observed. Conclutions transurethral Holmium-laser is feasibale and safe for treatment of renal pelvic and ureteral tumors.