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首页> 中文期刊> 《现代肿瘤医学》 >经尿道输尿管口电切联合后腹腔镜治疗肾盂及上段输尿管尿路上皮癌

经尿道输尿管口电切联合后腹腔镜治疗肾盂及上段输尿管尿路上皮癌

         
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目的：评价经尿道输尿管口电切联合后腹腔镜治疗肾盂及上段输尿管癌的临床效果。方法：A 组15例肾盂及上段输尿管癌患者行经尿道输尿管口电切联合后腹腔镜的根治手术，B 组15例患者行传统开放手术，分析两组患者临床资料，将两组疗效进行比较。结果：两组患者均手术顺利。A 组手术时间、术后恢复时间、住院时间均短于 B 组，术中出血量少于 B 组，差异均有统计学意义（P <0.05或 P <0.01）。B 组出现切口感染2例，A 组未出现并发症，差异有统计学意义（P <0.01）。两组术后随访均未发现肿瘤转移，各有1例因未行规律膀胱灌注而出现膀胱内复发。结论：经尿道输尿管口电切联合后腹腔镜治疗肾盂及上段输尿管癌疗效安全、可靠，值得临床推广应用。%Objective:To evaluate the effect on patients with upper urinary urothelial carcinoma treated by tran-surethral resection of the ureteral orifice combined with retroperitoneal laparoscopy. Methods:Group A and B consis-ted of 15 cases with upper urinary urothelial carcinoma respectively. The former was treated by transurethral resection of the ureteral orifice combined with retroperitoneal laparoscopy,the latter by open operation. The clinic data was com-pared. Results:The surgeries were all completed successfully. The time of operation,postoperative recovery and inpa-tient procedure in group A were all shorter than that of group B,and the blood loss in group A was less,with statistical differences(P < 0. 05 or P < 0. 01). The infection in slit was found in two cases of group B,while not found in group A(P < 0. 01). There was no distant metastasis in the two groups,while having one case respectively recurrence in bladder without irrigation. Conclusion:Transurethral resection of the ureteral orifice combined with retroperitoneal laparoscopy for upper urinary urothelial carcinoma is a safe and effective procedure worthy of extending.

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