CAJ | 학술논문

目的探讨后腹腔镜联合膀胱电切镜行肾孟癌根治术的临床应用价值.方法回顾性分析24例肾盂癌施行后腹腔镜联合膀胱电切镜肾盂癌根治术患者的临床资料.结果 24例手术均顺利完成,平均手术时间(131±28) min,平均术中出血量(81±18)ml.术后肾窝皮管引流在术后1～4d拔除.导尿管留置平均时间为(7.2±2.1)d.均无漏尿、切口感染等并发症.随访3～30个月,1例肺部转移,2例发生膀胱癌.结论后腹腔镜联合膀胱电切镜行肾盂癌根治术是一种可靠的手术方法,与传统开放手术和其他术式相比,具有手术时间短、出血少、恢复快、术后并发症少及微创、安全等优点.
목적 탐토후복강경연합방광전절경행신맹암근치술적림상응용개치.방법 회고성분석24례신우암시행후복강경연합방광전절경신우암근치술환자적림상자료.결과 24례수술균순리완성,평균수술시간(131±28) min,평균술중출혈량(81±18)ml.술후신와피관인류재술후1～4d발제.도뇨관류치평균시간위(7.2±2.1)d.균무루뇨、절구감염등병발증.수방3～30개월,1례폐부전이,2례발생방광암.결론 후복강경연합방광전절경행신우암근치술시일충가고적수술방법,여전통개방수술화기타술식상비,구유수술시간단、출혈소、회복쾌、술후병발증소급미창、안전등우점.
Objective To evaluate the curative effects of retroperitoneal laparoscopy combined with cystoscopic electrocision on the renal pelvic carcinoma.Methods From June 2008 to March 2011,24 patients with renal pelvic carcinoma were treated by retroperitoneal laparoscopy combined with cystoscopic electrocision.The clinical data were retrospectively analyzed.Results All the operations were successfully completed.The average operating time was (131 ± 28) min,and the volume of blood loss during operation was (81 ± 18)ml.The drainage tubes and catheters were removed 1-4 days and (7.2 ± 2.1) days after operation.No leakeage of urine or infection of incisional wound were reported.During the follow-up of 3-30 months,1 case of lung metastasis and 2 case of bladder tumor.Conclusions Retroperitoneal laparoscopy combined with cystoscopic electrocision is a safe and effective way for renal pelvic carcinoma.Compared with open surgery,it has advantages such as short operative time,small incision,less blood loss,rapid recovery and less complications.