手辅助后腹腔镜根治性肾切除术及肾输尿管切除术。

Hand-assisted retroperitoneoscopic radical nephrectomy and nephroureterectomy.

作者信息

Kawauchi Akihiro, Fujito Akira, Soh Jintetsu, Ukimura Osamu, Mizutani Yoichi, Miki Tsuneharu

机构信息

Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan.

出版信息

J Endourol. 2004 May;18(4):365-9. doi: 10.1089/089277904323056915.

DOI:10.1089/089277904323056915

PMID:15253787

Abstract

In laparoscopic operations for renal tumor and upper urinary-tract transitional-cell carcinoma (TCC), three approaches - the transperitoneal, retroperitoneal, and transperitoneal hand-assisted - have been reported. We have performed hand-assisted retroperitoneoscopic radical nephrectomy (RN) since 1999 and nephroureterectomy (NU) since 2000. The surgical techniques and the operative results of 95 cases of RN and 54 cases of NU are described and analyzed. These procedures were effective and safe for renal tumors and upper urinary-tract TCC.

摘要

在肾肿瘤和上尿路移行细胞癌（TCC）的腹腔镜手术中，已报道了三种手术入路——经腹腔、腹膜后和经腹腔手辅助入路。自1999年以来，我们开展了手辅助腹膜后腹腔镜根治性肾切除术（RN），自2000年以来开展了肾输尿管切除术（NU）。本文描述并分析了95例RN和54例NU的手术技术及手术结果。这些手术方法对于肾肿瘤和上尿路TCC是有效且安全的。