Liu Rong-yao, Zhao Peng-ju, Li Xue-song, Chen Cheng, Chen Xiao-peng, Yao Lin, Hao Han, Zhang Cui-jian, Hao Jin-rui, He Zhi-song, Zhou Li-qun
Department of Urology, Peking University First Hospital; Institute of Urology, Peking University; National Urological Cancer Center, Beijing 100034, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2011 Aug 18;43(4):531-4.
To discuss the surgical skills and clinical value of complete transperitoneal laparoscopic nephroureterectomy.
We collected and analyzed the clinical data of 25 patients (14 renal pelvic carcinoma and 11 carcinoma of ulreter, right side 15 and left side 10) who underwent complete transperitoneal laparoscopic nephroureterectomy for the upper urinary tract urothelial carcinoma (UUT-UC) in Peking University First Hospital from May 2010 to April 2011.
All the operations were successfully done by one surgeon with standard 4 or 5 trocars technique. The mean operative time was 150 min (120-180 min), the blood loss about 20-100 mL (mean 40 mL) and no severe complications observed. The postoperative hospital stay was 4-6 days with an average length of 5.5 days. The mean follow-up was 5.5 (1-11) months. One of 19 patients underwent trans urethral resection of bladder tumour (TURBT) for recurrent non-muscle invasive bladder tumor.
Complete transperitoneal laparoscopic nephroureterectomy is a minimally invasive, safe and effective way to treat UUT-UC. The patients recover soon and have a shorter length of stay.
探讨完全经腹腔腹腔镜肾输尿管切除术的手术技巧及临床价值。
收集并分析2010年5月至2011年4月在北京大学第一医院接受完全经腹腔腹腔镜肾输尿管切除术治疗上尿路尿路上皮癌（UUT-UC）的25例患者（肾盂癌14例，输尿管癌11例，右侧15例，左侧10例）的临床资料。
所有手术均由一名外科医生采用标准的4或5孔技术成功完成。平均手术时间为150分钟（120 - 180分钟），出血量约20 - 100毫升（平均40毫升），未观察到严重并发症。术后住院时间为4 - 6天，平均住院时间为5.5天。平均随访时间为5.5（1 - 11）个月。19例患者中有1例因复发性非肌层浸润性膀胱肿瘤接受了经尿道膀胱肿瘤切除术（TURBT）。
完全经腹腔腹腔镜肾输尿管切除术是治疗UUT-UC的一种微创、安全有效的方法。患者恢复快，住院时间短。
