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[目的]探讨后腹腔镜在肾癌根治术中的应用。[方法]对60例行后腹腔镜下肾癌根治术肾癌患者进行回顾性分析。[结果]60例肾癌患者,59例手术成功,1例中转开放手术。手术平均时间173.5min(95～300min);失血量50～1500ml,中位失血量175ml;术后住院4～12d,平均7.2d。术后随访7～32个月,平均17个月。60例患者全部生存,无一例肿瘤局部复发或切口种植转移。[结论]后腹腔镜下肾癌根治术具有创伤小、恢复快等特点,是肾癌外科治疗的发展方向。
[Objective] To investigate the application of retroperitoneal laparoscopy in radical nephrectomy. [Method] A retrospective analysis of 60 cases of retroperitoneal renal cell carcinoma after laparoscopic surgery. [Results] In 60 cases of renal cell carcinoma, 59 cases were successfully operated and 1 case was transferred to open surgery. The mean operative time was 173.5 minutes (95-300 minutes). The blood loss was 50-1500ml and the median blood loss was 175ml. The postoperative hospital stay was 4-12 days with an average of 7.2 days. The patients were followed up for 7 to 32 months with an average of 17 months. 60 patients all survived, no tumor recurrence or incision implantation metastasis. [Conclusion] The retroperitoneal laparoscopic radical nephrectomy is characterized by less trauma and rapid recovery, which is the development direction of surgical treatment of renal cell carcinoma.