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目的探讨后腹腔镜下保留肾单位手术(NSS)治疗肾肿瘤的有效性及手术技巧。方法对我院2013-01-2015-12收治的20例肾肿瘤患者行后腹腔镜NSS,对其疗效和手术技巧进行分析。结果 18例患者成功实施后腹腔镜NSS,2例中转开放,手术时间(103.2±2.1)min;肾动脉阻断时间(28.5±6.4)min;术中出血(161.2±4.1)mL,病检切缘均为阴性,术后住院时间(7.3±1.2)d,术后随访3~25个月,未见肿瘤复发及肾功能异常。结论后腹腔镜NSS治疗肾肿瘤安全有效,创伤小,恢复快,值得有一定腹腔镜经验的单位推广应用。
Objective To investigate the effectiveness and surgical skills of laparoscopic nephron sparing surgery (NSS) in the treatment of renal tumors. Methods Twenty patients with renal cancer admitted to our hospital from January 2013 to December 2015 were retrospectively analyzed for their efficacy and surgical skills. Results 18 patients underwent retroperitoneal laparoscopic NSS. The time of operation was (103.2 ± 2.1) min, the time of renal artery occlusion (28.5 ± 6.4) min, intraoperative bleeding (161.2 ± 4.1) mL, Margin were negative, postoperative hospital stay (7.3 ± 1.2) d, were followed up for 3 to 25 months, no tumor recurrence and renal dysfunction. Conclusions Retroperitoneal laparoscopic treatment of renal neoplasms with NSS is safe and effective, with less trauma and faster recovery. It is worth to have a certain laparoscopic experience in the promotion and application of the unit.