CAJ | 학술논문

目的探讨后腹腔镜联合尿道电切手术治疗上尿路尿路上皮癌的临床疗效.方法 2006年1月至2009年7月收治的15例上尿路尿路上皮癌患者,先采用尿道电切镜行患侧输尿管口膀胱黏膜袖套状切除,然后行后腹腔镜根治性肾输尿管全切术.结果 15例手术均获成功,手术时间120～180 rmin,平均150 min.术中出血100～400 ml,平均200 ml.肠道功能恢复时间为24～48 h,3～4 d内可拔除引流管.导尿管留置7～10 d,拔尿管时开始行表柔吡星膀胱灌注.随访1～40个月,平均10个月,均生存,1例患者腹膜后淋巴结转移.结论后腹腔镜联合尿道电切镜手术治疗上尿路尿路上皮癌,安全、有效,且创伤小、患者恢复快.
목적 탐토후복강경연합뇨도전절수술치료상뇨로뇨로상피암적림상료효.방법 2006년1월지2009년7월수치적15례상뇨로뇨로상피암환자,선채용뇨도전절경행환측수뇨관구방광점막수투상절제,연후행후복강경근치성신수뇨관전절술.결과 15례수술균획성공,수술시간120～180 rmin,평균150 min.술중출혈100～400 ml,평균200 ml.장도공능회복시간위24～48 h,3～4 d내가발제인류관.도뇨관류치7～10 d,발뇨관시개시행표유필성방광관주.수방1～40개월,평균10개월,균생존,1례환자복막후림파결전이.결론 후복강경연합뇨도전절경수술치료상뇨로뇨로상피암,안전、유효,차창상소、환자회복쾌.
Objective To explore the therapeutic effect and application value of retroperitoneal laparoscopic combined with resectoscopic radical nephroureterectomy for upper tract urothelial carcinoma Methods From Jan.2006 to Jul.2009,fifteen upper tract urothelial carcinoma patients underwent excision of bladder cuff with resectoscope at first,and then retroperitoneal laparoscopic radical nephroureterectomy.All tumors were confirmed to be localized,stage T1-T3.Clinical outcomes of the patients were retrospectively analyzed.Results Mean operative time was 150 (range:120-180) minutes and blood loss volume was 200 (range:100-400)ml.The function of intestinal canal recovered after 24-48 hours,the drainage tube could be removed after 3-4 days.Catheter was kept for 7-10 days.During the follow up for 1-40 months,all the 15 patients survived with one retroperitoneal lymphatic metastasis.There were no severe complications in perioperative and postoperative period.Conclusions Retroperitoneal laparoscopic combined with resectoscopic radical nephroureterectomy may be a practical surgical procedure for upper tract urothelial carcinoma patients with less intraoperative blood loss and early recovery.