腹腔镜外科杂志2013，Vol.18Issue(1)：68-70,3.
保留肾单位手术治疗肾错构瘤的临床体会
Clinical experience of nephron-sparing surgery in the treatment of renal hamartoma
周发友 1梁朝朝 2周骏 2王玉清1
作者信息
- 1. 芜湖市中医医院,安徽芜湖,241000
- 2. 安徽医科大学第一附属医院
- 折叠
摘要
Abstract
Objective; To discuss the diagnosis and operative method, and evaluate the clinical efficacy of nephron-sparing surgery for renal angiomyolipoma. Methods; The clinical data of 41 cases of renal angiomyolipoma treated by nephron-sparing surgery from Oct. 2009 to Sep. 2011 were retrospectively analysed. 10 patients were male,31 patients were female. The mean age was (42. 5 ± 13.4) years old(from 18 to 79 years old). Nineteen cases were on the left side, and twenty-two on the right. Tumor diameter was 2. 0-15 cm, mean diameter was (5.9 ±3.5) cm. Results: All the procedures were accomplished successfully,nine cases were treated by open nephron-sparing surgery and thirty-two cases were treated by retroperitoneal laparoscopic nephron-sparing surgery. Mean operative time was (63. 8 ± 18. 9 ) min (from 48 min to 150 min) . Mean warm ischemia time was (23.9±3.4) min( from 18 min to 30 min) and mean blood loss was (86. 0 ±28. 4) ml(60 min to 210 ml). Mean hospital stay after operation was (7. 6 ±0. 8) d (from 7 to 11 days) . 41 cases of renal angiomyolipoma were confirmed by postoperative pathological tests. None recurred during the follow-up from 3 to 12 months.Conclusions: Nephron-sparing surgery is a safe and effective therapy for renal angiomyolipoma, but it must be accomplished by seasoned doctors.关键词
肾脏错构瘤/腹腔镜检查/腹膜后路径/保留肾单位手术Key words
Renal hamartoma/Laparoscopy/Retroperitoneal approach/Nephron-sparing surgery分类
医药卫生引用本文复制引用
周发友,梁朝朝,周骏,王玉清..保留肾单位手术治疗肾错构瘤的临床体会[J].腹腔镜外科杂志,2013,18(1):68-70,3.
