CAJ | 학술논문

目的：观察行腹腔镜肾部分切除术（LPN）治疗肾肿瘤患者临床应用效果。方法2008年1月至2011年12月采用腹腔镜经腹腔途径对60例肾肿瘤患者行LPN。病理检查结果为局限性肾透明细胞癌35例，乳头状肾细胞癌1例，嫌色细胞癌1例，肾血管平滑肌脂肪瘤23例。肿瘤直径2.0~5.0cm，平均直径3.6cm。左侧36例、右侧24例。观察手术时间、术中出血量、住院天数，并发症及手术效果。结果60例手术均顺利完成。平均手术时间50~130min，平均时间75min。52例患者平均血管阻断时间15~45min，平均时间24min，术中平均出血量50~350m1，平均出血量100ml。1例术后出现迟发出血，予以保守治疗，1例术后出现漏尿。住院时间8~17d，平均住院时间9.5d。随访4~36个月肿瘤无复发。结论 LPN安全、有效、出血少、恢复快。
목적：관찰행복강경신부분절제술（LPN）치료신종류환자림상응용효과。방법2008년1월지2011년12월채용복강경경복강도경대60례신종류환자행LPN。병리검사결과위국한성신투명세포암35례，유두상신세포암1례，혐색세포암1례，신혈관평활기지방류23례。종류직경2.0~5.0cm，평균직경3.6cm。좌측36례、우측24례。관찰수술시간、술중출혈량、주원천수，병발증급수술효과。결과60례수술균순리완성。평균수술시간50~130min，평균시간75min。52례환자평균혈관조단시간15~45min，평균시간24min，술중평균출혈량50~350m1，평균출혈량100ml。1례술후출현지발출혈，여이보수치료，1례술후출현루뇨。주원시간8~17d，평균주원시간9.5d。수방4~36개월종류무복발。결론 LPN안전、유효、출혈소、회복쾌。
Objective To explore the clinical effects of treating the patients with kidney tumors with laparoscopic partial nephrectomy(LPN). Methods 60 patients of kidney tumors were treated with transperitoneum LPN.The pathology confirmed partial clear cell carcinoma of kidney in 35 cases, papillary renal cell carcinoma in 1 case, chromophobe carcinoma in 1 case, angiomyolipoma of kidney in 23 cases. The tumors’ sizes were 2.0~5.0cm in diameter with an average diameter of 3.6cm. There were 36 right tumors and 24 left tumors. The operation time, intraoperative blood loss, days of hospitalization, complications and surgical outcome were recorded and evaluated. Reseults All the 60 operations were successfully performed, the operation time were 50~130min,with 75min in average.52 patients had 15~45min vascular occlusion with the average of 24min,the intraoperative blood loss was 0~350m1,with average of 100ml.Delayed postoperative bleeding happened in 1 case which were managed conservatively, leakage of urine occurred in 1 case. The hospital stay was8~17d,with average of 9.5d. All the patients were followed up 4~36 months, no recurrenc occurred. Conclusions LPN is a safe, effective operative with reduced blood loss and fast recovery.