CAJ | 학술논문

目的:探讨后腹腔镜下对一侧肾盂、输尿管癌的治疗效果.方法:2004年10月～2008年6月在我院行后腹腔镜下治疗肾盂癌、输尿管癌31例患者.膀胱袖带状电切,后腹腔镜行患肾、输尿管切除,下腹部小切口切除患肾及输尿管全长.结果:31例手术均取得成功,手术时间2.5～6 h,平均4.7 h,出血量50～200 ml,平均80 ml,引流量40～200 ml,平均110 ml,引流管术后36～72 h拔除,住院时间12～15 d,平均13.4 d.20例为肾盂移行细胞癌,11例为输尿管移行细胞癌.术后随访1～36个月,平均20个月,1例发生膀胱移行细胞癌行电切术.余均未复发.结论:后腹腔镜下治疗Ⅰ、Ⅱ期肾盂、输尿管癌,手术创伤小,术后恢复快,并且可取得满意的效果,值得推广.
목적:탐토후복강경하대일측신우、수뇨관암적치료효과.방법:2004년10월～2008년6월재아원행후복강경하치료신우암、수뇨관암31례환자.방광수대상전절,후복강경행환신、수뇨관절제,하복부소절구절제환신급수뇨관전장.결과:31례수술균취득성공,수술시간2.5～6 h,평균4.7 h,출혈량50～200 ml,평균80 ml,인류량40～200 ml,평균110 ml,인류관술후36～72 h발제,주원시간12～15 d,평균13.4 d.20례위신우이행세포암,11례위수뇨관이행세포암.술후수방1～36개월,평균20개월,1례발생방광이행세포암행전절술.여균미복발.결론:후복강경하치료Ⅰ、Ⅱ기신우、수뇨관암,수술창상소,술후회복쾌,병차가취득만의적효과,치득추엄.
Objective: To evaluate the curative effects of retroperitoneoscopic nephroureterectomy for the treatment of carcinoma of the renal pelvis and ureter. Methods: We performed retroperitoneoscopic nephroureterectomy in 31 cases of carcinoma of the renal pelvis and ureter between October 2004 and June 2008. Transurethral vesection of the ureteral orifice with bladder cuff was performed and the affected kidney was retroperitoneoscopically dissected en bloc. The dissected kidney and ureter were removed intact through a hypogastric incision. Results: The operation was successfully completed in all the 31 cases. The operation time was 2.5～6 h(mean, 4.7 h), the blood loss was 50～200 ml(mean, 80 ml), and the postoperative drainage volume, 40～200 ml/d(mean, 110 ml/d). The drainage tube was removed at 36～72 postoperative hours. The duration of hospitalization ranged 12～15 d(mean, 13.4 d). Pathological findings after operation showed 20cases were the calyx transitional cell carcinoma and 11 cases were the ureter transitional cell carcinoma. Follow-up observations in the 31 Cases for 1～36months(mean, 20months) , one case occurred bladder turnout, and TURBT, the rest found no recurrence. Conclusions: Retroperitoneoscopic nephroureterectomy in the treatment of Ⅰ, Ⅱ carcinoma of the renal pelvis is feasible, effective and micro-invasive.