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目的探讨大肾癌根治术并发症发生原因及处理策略。方法对我院收治的12例大肾癌根治术并发症患者,回顾分析并发症发生原因及处理方法。结果本组12例大肾癌患者,肿瘤直径10.5～27.5cm,平均直径12.5cm,平均手术时间(147±56)min,术中出血量(325±173)ml,住院时间(11±5)d。12例患者均合并并发症,并发症类型为:脾脏损伤、胰腺损伤、十二指肠损伤、肝脏损伤、下腔静脉癌栓脱落。经对症处理后,均痊愈出院。结论大肾癌根治术手术风险高,施术者需合理选择手术入路,细致耐心的进行手术。对于术中发生并发症的患者,进行对症处理,利于患者获得满意预后。
Objective To investigate the causes and treatment strategies for the complications of radical nephrectomy. Methods 12 cases of patients with radical nephrectomy admitted to our hospital were retrospectively analyzed for the causes and treatment of complications. Results The group of 12 patients with large renal cell carcinoma had a mean tumor diameter of 10.5-27.5 cm and an average diameter of 12.5 cm with a mean operative time of 147 ± 56 min and an intraoperative blood loss of 325 ± 173 ml and a length of hospital stay of 11 ± 5. d. All 12 patients had complications. The complications were spleen injury, pancreas injury, duodenal injury, liver injury and vena cava tumor thrombus. After symptomatic treatment, were discharged. Conclusion There is a high risk of radical surgery for radical nephrectomy. The surgeon should choose the appropriate surgical approach and perform the operation carefully and patiently. For patients with intraoperative complications, symptomatic treatment, which will help patients get a satisfactory prognosis.