Jurczok A, Hamza A, Nill A, Gerbershagen H-P, Fornara P
Klinik und Poliklinik für Urologie, Medizinische Fakultät, Martin-Luther-Universität Halle/Wittenberg, Ernst-Grube-Strasse 40, 06112, Halle/Saale.
Urologe A. 2006 Sep;45(9):1111-2, 1114-7. doi: 10.1007/s00120-006-1157-9.
Since the first laparoscopic nephrectomy in 1990, most ablative and reconstructive urological kidney surgery has been attempted laparoscopically. The advantages of this method were first demonstrated for benign diseases, with less postoperative pain, shorter hospitalization, faster convalescence and, for the objective evaluation of these findings, with lower serum levels of interleukins and acute phase proteins, and without disadvantages in therapy efficiency. Over the last few years, sufficient data have been published to show the oncological outcome for patients with kidney cancer. For laparoscopic radical nephrectomy, and recently also for partial nephrectomy, oncological equality with open procedures could be demonstrated, with all of the benefits of minimally invasive techniques. The use of laparoscopy was one of the most important steps in the progress of medicine in the 20th century. Our aims include the further improvement of this technique and its distribution to surgical centers.
自1990年首例腹腔镜肾切除术以来，大多数泌尿外科肾脏消融和重建手术都尝试通过腹腔镜进行。这种方法的优势首先在良性疾病中得到体现，术后疼痛减轻、住院时间缩短、康复更快，并且从客观评估这些结果来看，血清白细胞介素和急性期蛋白水平较低，且治疗效果没有劣势。在过去几年中，已有足够的数据表明肾癌患者的肿瘤学结局。对于腹腔镜根治性肾切除术，以及最近的腹腔镜部分肾切除术，已证明其在肿瘤学方面与开放手术相当，同时具备微创技术的所有优点。腹腔镜的应用是20世纪医学进步中最重要的步骤之一。我们的目标包括进一步改进这项技术并将其推广至各手术中心。
