后腹腔镜联合应用膀胱电切镜行肾输尿管全切及膀胱袖套状切除术
肾肿瘤；输尿管肿瘤；腹腔镜；膀胱镜,,肾肿瘤；输尿管肿瘤；腹腔镜；膀胱镜,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：评价后腹腔镜联合膀胱电切镜行肾输尿管全切及膀胱袖套状切除术治疗上尿路移行细胞癌的有效性及安全性。方法：对10例上尿路移行细胞癌患者行后腹腔镜联合膀胱电切镜行肾输尿管全切术，完整取出切除的肾输尿管标本。术后常规化疗药物膀胱灌注。结果：手术时间180～230min；术中出血量80～200ml；术后8d出院，无严重并发症发生。随访2～24个月，无复发。结论：后腹腔镜联合膀胱电切镜行肾输尿管全切术治疗上尿路移行细胞癌，是一种安全有效的术式，具有痛苦小、并发症少及患者恢复快等优点。【关键词】 肾肿瘤；输尿管肿瘤；腹腔镜；膀胱镜
Nephroureterectomy and excision of bladder cuff under retroperitoneal laparoscopy and cystoscopic electrocision for upper urinary tract transitional cell carcinoma
CHEN Qiang,ZHOU Rongxiang,LI Monong,et al.
Department of Urology,Qingdao Municipal Hospital,Qingdao 266011,China
【Abstract】 Objective:To evaluate the safety and efficiency of total nephroureterectomy and excision of bladder cuff under retroperitoneal laparoscopy and cystoscopic electrocision for upper urinary tract transitional cell carcinorna.Methods:7cases with pyelocarcinoma and 3 cases with transitional cell carcinoma of ureter underwent excision of bladder cuff under urethral resectoscope at first,and then retroperitoneal laparoscopic radical nephroureterectomy.The entire specimens were removed.Routine bladder irrigation was performed in all patients.Results:All operations were performed successfully.The operative time was 180 to 230min,and the estimated blood loss was 80 to 200ml.The postoperative hospital stay was 8d.There was no recurrence and distal metastasis during 2 to 24 months followup.Conclusions:Reroperitoneal laparoscopic combined with resectoscopic radical nephroureterectomy for upper tract transitional cell carcinoma is a safe and effective procedure with merits of miniinvasive,little pain and rapid recovery. ......
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