腹腔镜肿瘤剜除术联合肾部分切除术治疗肾脏肿瘤临床分析

摘要

目的:探索运用腹腔镜肿瘤剜除术联合肾部分切除术治疗肾脏肿瘤的临床治疗效果;方法:选取我院2011年1月至2011年6月期间肾脏肿瘤患者12例,全部予以腹腔镜肿瘤剜除术联合肾部分切除术进行治疗,出院后均进行为期6-12个月的随访;结果:本组12例患者的手术均获得成功,无术中转开放手术者.其中手术时间(75-110)min,平均86min;术中出血量(45-140)mL,平均85mL;术后住院时间(6-10)d,平均8d;住院期间均无并发症发生.患者出院后均进行为期6-12个月的随访,经肾脏超声及CT检查均未发现肿瘤复发;结论:腹腔镜肿瘤剜除术联合肾部分切除术治疗肾脏肿瘤临床疗效较好,对于直径＜4cm的肿瘤其临床治疗效果与开放性手术相当,而且该方法手术创伤小,安全性高,患者恢复较快,同时由于可最大限度地保留患肾单位及功能因而患者的治疗依从性较好.%Objective: To observe the clinical effects of applying laparoscopic tumor enucleation and partial nephrectomy to treat kidney tumor. Method: Choosing 12 cases kidney tumor treated in our hospital from January 2011 to June 2011 with laparoscopic tumor enucleation and partial nephrectomy , and followed up for 6-12 months. Result: All the 12 cases were accomplished successfully and no case was transferred to opening appendectomy. The operation time was 75 -110 minutest mean 86min ), and the intraoperative blood loss was 45-140mL,( mean 85mL ). Postoperative hospitalized time was (6-10 )days, ( mean 8days ). No complications occurred. The follow up study was done for 6 to 12 months after discharging. Tumor recurrence was not found by renal ultrasound and CT examination. Conclusion: The clinical effects of applying laparoscopic tumor enucleation and partial nephrectomy to treat kidney tumor were good. The clinical effects of treating tumor large than 4cm in diameter is just about open surgery. And the treating method has the advantage of slight trauma, safe and early recovery . Because of retaining the suffered kidney unit and function, the treatment compliance is better.