Sanli Oner, Tefik Tzevat, Erdem Selcuk, Oktar Tayfun, Tunc Murat, Ozcan Faruk
Department of Urology, Istanbul Faculty of Medicine, University of Istanbul, Istanbul, Turkey.
J Minim Access Surg. 2013 Oct;9(4):168-72. doi: 10.4103/0972-9941.118844.
To report our initial experiences using a combined retroperitoneoscopic and transperitoneal laparoscopic technique for the management of renal cell carcinoma with level I tumor thrombi.
Two patients underwent this technique for tumors 11- and 13-cm in diameter. After transection of the renal artery with limited mobilization of the kidney using a retroperitoneoscopic approach, additional ports were placed, and the management of the tumor thrombus was performed in the large working space provided by the transperitoneoscopic approach.
The technique was feasible in the present 2 cases. The total operative times were 170 and 200 min, respectively. The estimated blood loss was 450 cc in the first case and 200 cc in the second case. No complications were observed in either of the patients.
Based on the initial clinical experience, we have presented a feasible surgical option for the laparoscopic management of renal cell carcinoma with level I thrombi.
报告我们使用后腹腔镜与经腹腹腔镜联合技术处理伴有Ⅰ级肿瘤血栓的肾细胞癌的初步经验。
两名患者接受了该技术治疗，肿瘤直径分别为11厘米和13厘米。采用后腹腔镜方法在有限游离肾脏后切断肾动脉，然后置入额外的端口，并在经腹腹腔镜方法提供的大工作空间内处理肿瘤血栓。
该技术在目前这2例中可行。总手术时间分别为170分钟和200分钟。第一例估计失血量为450毫升，第二例为200毫升。两名患者均未观察到并发症。
基于初步临床经验，我们提出了一种用于腹腔镜处理伴有Ⅰ级血栓的肾细胞癌的可行手术选择。
