后腹腔镜肾部分切除术(T1b内生型)——程序化六步法
Retroperitoneal laparoscopic partial nephrectomy for the treatment of T1b endogenic renal tumor(the Programmed Six Steps Method)
陈友干 1孙承文 1吴玉伟 1吴升 1向从明1
作者信息
- 1. 江南大学附属医院泌尿外科,江苏无锡,214122
- 折叠
摘要
腹腔镜肾部分切除术(LPN)是治疗T1a期(直径<4 cm)肾肿瘤的标准术式.对于T1b期(直径 4～7 cm)肾肿瘤,LPN目前有一定争议,但因LPN能够保留患肾单位、提高患者术后整体生活质量,仍被很多有较高手术技巧和经验的术者采用.本术式采用经典的经后腹腔镜入路,将复杂T1b期肾肿瘤(R.E.N.A.L评分=10A)的术式设计成程序化六步法:1.清脂肪、开筋膜;2.寻肿瘤;3.找动脉、上阻断;4.切肿瘤;5.缝创面;6.松阻断、取标本.该手术视频清晰、流畅,将复杂手术的多个步骤拆分,逐一攻破,有利于青年同道学习和掌握.
Abstract
Laparoscopic partial nephrectomy(LPN)is the standard surgical procedure for treating T 1 a stage(diameter<4 cm)renal tumors.There is some controversy over LPN for T 1 b stage(diameter 4～7 cm)renal tumors,but it is still adopted by many surgeons with high surgical skills and experience because LPN can preserve the renal unite and improve the overall quality of life of patients after surgery.This surgical procedure adopts the classic retroperitoneal laparoscopic approach and designs a programmatic six steps approach for complex T1 b stage renal tumors(R.E.N.A.L score=10 A):1.Clear fat and open fascia;2.Search for tumor;3.Find renal artery and block it;4.Resect the tumor;5.Suture the wound surface;6.Loosen blockage and collect specimen.The surgical video is high-definition and smooth,breaking down multiple steps of complex surgery and tackling them one by one,which is beneficial for young urologists to learn and master.
关键词
肾癌/腹腔镜肾部分切除/T1bKey words
renal cell carcinoma/laparoscopic partial nephrectomy/T1b引用本文复制引用
出版年
2024
NETL
NSTL
万方数据