解放军医学杂志2011，Vol.36Issue(8)：843-844,2.
经尿道2μm激光联合后腹腔镜治疗上尿路肿瘤(附23例报告)
2μm laser via urethra combining with retroperitoneal laparoscopy in treatment of upper urinary tract urothelial tumors: a report of 23 cases
沈鹏 1欧彤文 1许建军 1李进1
作者信息
- 1. 100053,北京,首都医科大学宣武医院泌尿外科
- 折叠
摘要
Abstract
Objective To evaluate the clinical results of 2μm laser via urethra combining with retroperitoneal laparoscopy in treatment of upper urinary tract urothelial tumors.Methods Twenty-three cases (13 males and 10 females) with upper urinary tract urothelial tumours underwent retroperitoneal laparoscopic total nephroureterectomy and bladder cuff excision with 2μm continuous wave laser.Among 23 cases, 18 had renal pelvic tumors and the other 5 had ureteral tumors.Postoperative intravesical chemotherapy with pirarubicin was given according to recommended dosage.After retroperitoneal laparoscopic total nephroureterectomy with bladder cuff excision for upper urinary tract urothelial tumours, cystoscopy was performed every 3 or 6 months, and computed tomography urography (CTU) was performed every half a year in order to observe tumor recurrence or metastasis.Results All the patients successfully underwent the operation without severe complication.Mean operation time was 164 min (ranged from 135 to 225min) and mean blood loss was 72ml (ranged from 40 to 150ml).During the follow up of 5-24 months, the tumor recurrence in the bladder was found by cystoscopic examination in one patient.No tumor recurrence, metastasis or intra-abdominal implantation was found in other patients.Conclusion The method of retroperitoneal laparoscopic total nephroureterectomy with bladder cuff excision with the use of 2μm continuous wave laser for upper urinary tract urothelial tumors is feasible and effective, and has become an ideal surgical technique for upper urinary tract urothelial turmors.关键词
肾输尿管切除术/腹腔镜/激光手术/尿道肿瘤Key words
nephroureterectomy/ laparoscopes/ laser surgery/ urethral neoplasms分类
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沈鹏,欧彤文,许建军,李进..经尿道2μm激光联合后腹腔镜治疗上尿路肿瘤(附23例报告)[J].解放军医学杂志,2011,36(8):843-844,2.
