Objective To observe the effect of laparoscopic partial nephrectomy (LPN) for the treatment of renal tumor patients clinical application ef ect. Methods From 2008 January to 2011 December by laparoscopic transperitoneal approach were performed in 60 patients with renal tumor LPN. Pathological examination results for 35 cases of localized renal clear cellcarcinoma, 1 cases of papil ary renal cellcarcinoma, 1 cases of chromophobe renal cellcarcinoma, 23 cases of renal angiomyolipoma. Results The 60 cases of operation were successfully completed. The average operation time was 50~130min, average time 75min. 52 patients with a mean time of vessel occlusion time 15~45min, average 24min, the average intraoperative blood loss was 50~350m1, average bleeding volume 100ml. 1 patients had delayed bleeding, to conservative treatment, 1 cases of urinary leakage after operation. The hospitalization time was 8~17d, the average hospitalization time 9.5d. The fol ow-up of 4~36 months, no tumor recurrence. Conclusion LPN is safe, ef ective, less bleeding, rapid recovery.%目的观察腹腔镜肾部分切除术的效果(LPN)对肾肿瘤患者的临床应用的治疗作用。方法从2012年1月~2014年1月腹腔镜经腹腔途径60例肾肿瘤肾部分切除术。对于35例局限性肾透明细胞癌病理检查结果,1例乳头状肾细胞癌,1例肾嫌色细胞癌,23例肾血管平滑肌脂肪瘤。肿瘤直径2~5cm,平均直径3.6cm。36例左侧,24例右侧。观察手术时间,术中出血量,住院时间,并发症和手术效果。在60例手术结果已成功完成。平均手术时间为50~130min,平均75min。52例患者的血管闭塞时间15~45min,平均24min的平均时间,平均术中出血50~350ml,平均出血量100ml。1例迟发性出血,保守治疗,术后漏尿1例。住院时间为8~17d,平均住院时间4~9.5d。36个月随访,无肿瘤复发。结论腹腔镜肾部分切除术是安全,有效,出血少,恢复快。
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