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[腹腔镜经腹腔和腹膜后部分肾切除术]

[Laparoscopic transperitoneal and retroperitoneal partial nephrectomy].

作者信息

Baranov A V, Biktimirov R G, Parkhonin D I

出版信息

Urologiia. 2013 Jul-Aug(4):64-8.

Abstract

The article presents a modern approach to partial nephrectomy, and evaluation of individual results of laparoscopic partial nephrectomies. The study included 38 patients who underwent laparoscopic partial nephrectomy in the period from 2006 to 2011. Kidney cancer was diagnosed in 30 patients, other diseases--in 8. Mean duration of surgery was 225 min. Warm ischemia time was less than 36 minutes. The average postoperative period was 8,7 days. Despite the technical difficulties in the development and implementation of laparoscopic partial nephrectomy, the benefits of minimally invasive techniques are obvious, and the operation can comply with all the principles of oncology and become an alternative to open surgery.

摘要

本文介绍了一种现代的部分肾切除术方法,以及对腹腔镜部分肾切除术个体结果的评估。该研究纳入了2006年至2011年期间接受腹腔镜部分肾切除术的38例患者。其中30例诊断为肾癌,8例为其他疾病。平均手术时长为225分钟。热缺血时间少于36分钟。平均术后住院时间为8.7天。尽管腹腔镜部分肾切除术的开展和实施存在技术困难,但微创技术的优势显而易见,该手术能够符合所有肿瘤学原则,成为开放手术的替代方案。

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