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目的探讨后腹腔镜右肾肿瘤根治性切除术中肾静脉的处理方法。方法我院2008年6月至2015年2月对82例T_(1~2)N_0M_0期右肾肿瘤患者实施了后腹腔镜根治性肾切除,术中处理完肾动脉后,暂不对肾静脉进行处理,待完成除肾静脉以外的根治性切除后,在肾静脉得到充分显露的情况下再对其进行离断。结果 82例均顺利完成后腹腔镜根治性肾切除手术,术中无肾静脉及下腔静脉损伤发生,无腹腔并发症。结论后腹腔镜右肾肿瘤根治术中采用最后处理右肾静脉的方法,即在充分暴露肾静脉及其与下腔静脉的解剖关系后对其进行离断,可有效避免血管损伤的发生,提高了手术的安全性。
Objective To investigate the treatment of renal vein in radical retroperitoneal laparoscopic right kidney neoplasm. Methods From July 2008 to February 2015, 82 cases of right renal carcinoma with T_ (1 ~ 2) N_0M_0 stage renal cell carcinoma were treated with retroperitoneal laparoscopic nephrectomy. After the renal artery was treated during operation, the renal vein was not to be temporarily treated Treatment, to be completed except for the radical removal of the renal vein, the renal vein was fully exposed in the event of its re-cut off. Results 82 cases were successfully completed laparoscopic radical nephrectomy surgery, no renal vein and inferior vena cava injury occurred, no abdominal complications. Conclusions The method of final treatment of the right renal vein in retroperitoneal laparoscopic right kidney neoplasms is to remove the renal vein and its relationship with the inferior vena cava, which can effectively prevent the occurrence of vascular injury and improve The safety of surgery.