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目的:评估临床腹腔镜肾部分切除术的可行性及推广价值。方法:26例肾占位患者行腹腔镜肾部分切除术,评价手术时间、肾蒂阻断时间、出血量、并发症及肿瘤复发情况。结果:26例手术无中转开放,肾蒂阻断时间为18~32min;手术时间为65~118min;出血量为60~350m L,术后住院7~15天,随访3~36个月未见肿瘤复发。结论:腹腔镜肾部分切除术患者创伤小,术后康复快,有临床推广价值。
Objective: To evaluate the feasibility and value of clinical laparoscopic partial nephrectomy. Methods: Twenty - six patients with renal occupancy underwent laparoscopic partial nephrectomy. The operative time, renal pedicle block time, bleeding volume, complications and tumor recurrence were evaluated. Results: No operation was performed in 26 cases. The time of renal pedicle block was 18 ~ 32min. The operation time was 65 ~ 118min. The bleeding volume was 60 ~ 350m L. The patients were hospitalized for 7 ~ 15 days. The patients were followed up for 3 ~ 36 months Tumor recurrence. Conclusion: Laparoscopic partial nephrectomy patients with small trauma, rapid recovery after surgery, a clinical value.