CAJ | 학술논문

目的：探讨后腹腔镜辅助小切口肾输尿管及膀胱袖状切除术的有效性和安全性。方法2011年1月—2013年1月，采用后腹腔镜辅助小切口为23例原发性输尿管肿瘤患者行肾输尿管及膀胱袖状切除术。男15例，女8例，平均62．5岁，其中左侧14例，右侧9例，肿瘤位于下段18例，上段5例。结果23例手术均获成功，手术时间180～300 min，平均200 min，术中出血50～150 mL，平均80 mL，术后平均住院9 d，无严重并发症发生。随访6～44个月，无肿瘤复发。结论采用后腹腔镜辅助小切口肾输尿管及膀胱袖状切除术治疗输尿管肿瘤具有患者创伤小、出血少、手术时间短、并发症少、切除更完全等优点，是上尿路肿瘤的一种安全有效的微创治疗方法。
목적：탐토후복강경보조소절구신수뇨관급방광수상절제술적유효성화안전성。방법2011년1월—2013년1월，채용후복강경보조소절구위23례원발성수뇨관종류환자행신수뇨관급방광수상절제술。남15례，녀8례，평균62．5세，기중좌측14례，우측9례，종류위우하단18례，상단5례。결과23례수술균획성공，수술시간180～300 min，평균200 min，술중출혈50～150 mL，평균80 mL，술후평균주원9 d，무엄중병발증발생。수방6～44개월，무종류복발。결론채용후복강경보조소절구신수뇨관급방광수상절제술치료수뇨관종류구유환자창상소、출혈소、수술시간단、병발증소、절제경완전등우점，시상뇨로종류적일충안전유효적미창치료방법。
Objective To evaluate the safety and effectiveness of radical nephroureterectomy and bladder cuff excision with short incision assisted by retroperitoneal laparoscopy.Methods Twenty-three patients with ureteral tumor underwent radi-cal nephroureterectomy and bladder cuff excision with short incision assisted by retroperitoneal laparoscopy from Jan 2011 to Jan 2013.Of these patients, there were 15 males and 8 females with a mean age of 62.5 years old.Fourteen tumors were at left side and 9 were at right.Five cases were carcinoma of superior segment and 18 cases were carcinoma of distal seg-ment.Results all operations were successful.The mean operation time was 200 min (range from 180 to 300 min).The in-traoperative blood loss was 50-150 mL ( mean 80 mL) , and the mean postoperative hospitalization was 9 d.No severe complications occurred.There was no recurrence with a follow-up of 6-44 months.Conclusion Radical nephroureterec-tomy and bladder cuff excision with short incision assisted by retroperitoneal laparoscopy has advantages of minimal inva-sion, less blood loss, fewer complications, short hospitalization and complete resection for carcinoma in ureter.It is a safe, effective and minimally invasive treatment for ureter urothelial carcinoma.