CAJ | 학술논문

目的：探讨后腹腔镜肾癌根治术的手术技巧。方法：回顾性分析110例后腹腔镜肾癌根治术患者的临床资料。结果：110例中，8例中转开放手术，102例经后腹腔镜获得成功。手术时间60～220 min，术中出血量约20～180 ml。术后随访3～24个月，未见严重并发症及肿瘤复发或转移。结论：后腹腔镜肾癌根治术具有微创手术解剖清晰、创伤小、出血少、恢复快等优点。术者的经验和熟练的手术技巧可有效降低患者术后并发症。
목적：탐토후복강경신암근치술적수술기교。방법：회고성분석110례후복강경신암근치술환자적림상자료。결과：110례중，8례중전개방수술，102례경후복강경획득성공。수술시간60～220 min，술중출혈량약20～180 ml。술후수방3～24개월，미견엄중병발증급종류복발혹전이。결론：후복강경신암근치술구유미창수술해부청석、창상소、출혈소、회복쾌등우점。술자적경험화숙련적수술기교가유효강저환자술후병발증。
Objective:To summarize the clinical skills and experience for retroperitoneal laparoseopic radical nephrectomy .Methods:The clinical data were retrospectively examined in 110 cases treated by retroperitoneal laparoscopic radical nephrectomy.Results:102 of the 110 cases successfully under-went the procedure,and 8 required referral to open surgery.The operation time averaged 60 to 220 min,and intraoperative blood loss was 20 to 180 ml.A mean follow-up in a period of 3 to 24 months showed no significant complications,no relapse or tumor metastasis.Conclusion:Retroperitoneal laparoscopic radical nephrectomy may lead to clear surgical field at the lesion,minimal invasion,less intraoperative blood loss and early recovery.Besides,skillful opera-tion and rich clinical experience can ensure reduced postoperative complications for the patients .