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目的:探讨单切口经腹膜外肾输尿管全长切除治疗肾盂输尿管癌的应用价值。方法:采用单切口经腹膜外肾输尿管全长切除治疗肾盂输尿管癌19例。结果:19例术后无1例并发出血、感染、尿瘘。平均随访2.5年。膀胱镜复查未发现切口处肿瘤生长,其它部位发生肿瘤4例,均作了电切处理。结论:此手术方法能一次完成肾输尿管全长及膀胱部分切除术,并发症少,效果好,是肾输尿管肿瘤的有效手术方法,特别是对输尿管口附近有肿瘤浸润者尤为优越。
Objective: To investigate the value of single incision extraperitoneal nephroureterectomy in the treatment of ureteropelvic cancer. Methods: A total of 19 cases of ureteropelvic carcinoma were treated with single incision and extraperitoneal nephroureterectomy. Results: None of the 19 patients had concurrent bleeding, infection and urinary fistula. The average follow-up of 2.5 years. Cystoscopy review found no tumor growth at the incision, other parts of the tumor occurred in 4 cases, were made of electrical resection. Conclusion: This procedure can complete the total length of the renal ureter and partial resection of the bladder with less complications and good effect. It is an effective surgical method for renal tumors of the ureter, especially for patients with tumor infiltration near the ureteral orifice.