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目的:总结腹膜后腹腔镜保留肾单位手术的过程及疗效,探讨其安全性及有效性。方法:回顾分析2007年6月至2011年3月为29例患者行腹膜后腹腔镜保留肾单位手术的临床资料,其中左侧13例,右侧16例;肿瘤直径2.0～5.5 cm,平均3.5 cm。结果:29例手术均获成功。手术时间60～150 min,平均85 min;术中出血量50～200 ml,平均80 ml。术后病理示肾透明细胞癌10例,肾血管平滑肌脂肪瘤19例。随访3～45个月,均无复发。结论:腹膜后腹腔镜保留肾单位手术治疗早期局限性肾癌及肾脏良性肿瘤安全、微创、有效,但需由腹腔镜手术经验丰富的医师施术。
Objective: To summarize the procedure and effect of retroperitoneal laparoscopic nephron surgery and to investigate its safety and effectiveness. Methods: The clinical data of 29 patients undergoing retroperitoneal laparoscopic nephron surgery from June 2007 to March 2011 were retrospectively analyzed. There were 13 cases on the left side and 16 cases on the right side. The average diameter of the tumors was 2.0-5.5 cm cm. Results: All 29 cases were successful. The operation time was 60-150 minutes (average 85 minutes). The blood loss during operation was 50-200 ml with an average of 80 ml. Postoperative pathology showed renal clear cell carcinoma in 10 cases, 19 cases of renal angiomyolipoma. Followed up for 3 ~ 45 months, no recurrence. CONCLUSIONS: Retroperitoneal laparoscopic nephron-preserving nephron surgery is safe, minimally invasive and effective in the treatment of early-stage renal cell carcinoma and nephridial neoplasms. However, laparoscopic surgery should be performed by experienced physicians.