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目的:探讨手助腹腔镜肾输尿管及膀胱袖套状切除术的手术技术。方法:采用手助腹腔镜对9例肾盂及输尿管肿瘤患者行肾输尿管及膀胱袖套状切除术,其中肾盂癌5例,输尿管癌4例;男7例,女2例;年龄45~68岁,平均53.5岁。结果:9例手术均成功实施,术后病理检查证实为移行细胞癌。手术时间为150~210min,平均190min,出血量50~200ml,平均150ml。术后恢复快,7~21天后出院,无明显并发症。对所有患者随访2~24个月,无肿瘤复发。结论:采用手助腹腔镜肾输尿管及膀胱袖套状切除术治疗肾盂及输尿管肿瘤具有手术时间短、安全、出血少、损伤小、患者术后恢复快、痛苦小、并发症少等优点。
Objective: To explore the hand-assisted laparoscopic nephroureterectomy and cuff surgery. Methods: Nine patients with renal pelvis and ureteral tumor underwent hand ureter and cuff surgery, including 5 cases of renal pelvic cancer and 4 cases of ureteral carcinoma, 7 males and 2 females, aged 45-68 years old , An average of 53.5 years old. Results: All the 9 surgeries were successfully performed and postoperative pathology confirmed as transitional cell carcinoma. Surgery time was 150 ~ 210min, an average of 190min, bleeding 50 ~ 200ml, an average of 150ml. Postoperative recovery fast, 7 to 21 days after discharge, no significant complications. All patients were followed up for 2 to 24 months without tumor recurrence. Conclusion: The hand-assisted laparoscopic nephroureterectomy and bladder cuff-like resection for the treatment of renal pelvis and ureter tumors have the advantages of short operation time, safety, less bleeding, less damage, faster recovery after operation, less pain and fewer complications.