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肾切除术

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Objective: To study the genesis and influential factors of multifocal renal cell carcinoma for the nephron sparing surgery.

目的:探讨多中心肾癌的发生机制及影响因素,为肾癌肾部分切除术寻找依据。

Objective To evaluate the safety and clinical effect of partial nephrectomy by way of renal cold ischemia.

目的 探讨低温阻断肾血流肾部分切除术的安全性和临床效果。

Objective To explore the therapeutic effect and clinical value of retroperitoneal laparoscopic partial nephrectomy.

目的 探讨后腹腔镜下肾部分切除术治疗肾肿瘤的疗效及临床价值。

Methods A total of 21 patients (12 men and 9 women) underwent partial nephrectomy during renal cold ischemia.

对21例患者采用低温阻断肾血流的方法行肾部分切除术。

Laparoscopic partial nephrectomy is gaining more and more popularity in treating patients with early renal carcinoma in recent years.

近年来,临床上对越来越多的早期肾癌病例采取腹腔镜肾部分切除术治疗。

Objective : To explore the procedures and clinical outcomes of retroperitoneal partial nephrectomy for early malignant renal tumors.

目的:探讨后腹腔镜对早期肾癌行肾部分切除术的方法和疗效。

Right radical nephrectomy and a perihilar lymph node dissection was performed through a Chevron incision for the anticipated diagnosis of renal adenocarcinoma.

因为预先诊断为肾腺癌所以以Chevron切口行右肾根治性切除术及肾门淋巴结清扫。

Major intra-operative complications included 1 nephrectomy and 2 partial nephrectomies for bleeding. Post-operatively, there was 1 hematoma requiring transfusion and 3 myocardial infarctions resulting in one death.

术中主要并发症包括1个全肾切除,2个肾脏部分切除术病人发生出血,术后发生1例血肿需要输血,3例心梗病人死亡1例。

Results: Thirty-eight laparoscopic nephrectomies uing Hem-o-lok clips for renal pedicle control were accomplished successfully without conversion to open surgery. No postoperative vascular complications or other serious complications happened.

结果: 应用Hem-o-lok夹处理肾蒂的38例腹腔镜肾切除手术均获成功,无一例转为开放手术,术中术后无肾血管出血及其他严重并发症。

Since the first partial nephrectomy for renal cell carcinoma was performed in 1887 by Czerny [1], the interest in nephron-sparing techniques has greatly increased during the past few decades as a result of advances in renal imaging, an increasing number of Incidentally detected low-stage tumours, and the growing experience with renovascular surgery.

然而,肾癌手术治疗的目的首先是为了治愈癌症,因此最近几年在选择是否行肾部分切除术时,主要考虑的是为病人保留足够的肾功能。

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