腹腔镜外科杂志2011，Vol.16Issue(6)：416-418,3.DOI:10.3969/j.issn.1009-6612.2011.06.006
腹腔镜联合尿道电切镜行肾输尿管切除并膀胱袖状切除术治疗上尿路肿瘤
Laparoscopic and urethral resectoscopic nephroureterectomy and bladder-sleeve resection for upper urinary carcinoma
董建平 1丁占一 1韩多亮 1潘爱民 1袁荫田1
作者信息
- 1. 寿光市人民医院,山东,寿光,262700
- 折叠
摘要
Abstract
Objective: To summarize the clinical experience of retroperitoneal laparoscopic and urethral resectoscopic nephroureterectomy and bladder sleeve resection for upper urinary transitional cell carcinoma. Methods :The clinical data of 9 cases of renal pelvic carcinoma and 8 cases of ureteral carcinoma were retrospectively analyzed. The ureteral orifice and intramural part was sleeve - separated by trans-urethral resectoscopy. Then kidney and ureter were resected. Relevant data were recorded. After operation,the urinary bladder was irrigated with mitomycin or pirarubicin routinely. Results:Sixteen operations were successful, 1 case of inferior vena cava was injured when right kidney was resected, and was converted to open surgery. The mean operative time was 190min (range 135-250min) , the mean blood loss was 150ml (range 60-1 000ml). The drainage tube was removed 2-5d (mean 3.5d) later, and the urinary canal was removed 7-9d (mean 8d) later. The mean postoperative hospital stay was 9.4d (range 8-14d). During he follow up of 3-32 months, recurrent urinary bladder occurred in a patient with ureteral carcinoma 7 months later, and left pulmonary metastasis occurred in a patient with renal pelvic carcinoma 17 months later. Conclusions :The retroperitoneal laparoscopic and urethral resectoscopic nephroureterectomy and bladder sleeve resection is safe and effective in treatment of upper urinary transitional cell carcinoma, and is worth popularization.关键词
肾盂肿瘤/输尿管肿瘤/癌,移行细胞/腹腔镜检查Key words
Kidney pelvis neoplasms/ Ureteral neoplasms/ Carcinoma, transitional cell/ Laparoscopy分类
医药卫生引用本文复制引用
董建平,丁占一,韩多亮,潘爱民,袁荫田..腹腔镜联合尿道电切镜行肾输尿管切除并膀胱袖状切除术治疗上尿路肿瘤[J].腹腔镜外科杂志,2011,16(6):416-418,3.
