[1]王科,于胜强,门昌平,等.后腹腔镜下的上尿路上皮癌根治术无瘤原则探讨[J].中华腔镜泌尿外科杂志(电子版),2013,(05):34-37.
　WANG Ke,YU Sheng-qiang,MEN Chang-ping,et al.Study for tumor free principle in retroperitoneal laparoscopic nephroureterectomy for upper urinary urothelial carcinoma[J].,2013,(05):34-37.
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后腹腔镜下的上尿路上皮癌根治术无瘤原则探讨()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2013年05期
页码:
34-37
栏目:
出版日期:
2013-10-31

文章信息/Info

Title:
Study for tumor free principle in retroperitoneal laparoscopic nephroureterectomy for upper urinary urothelial carcinoma
作者:
王科; 于胜强; 门昌平; 林春华; 高振利
264000,山东省烟台市毓璜顶医院泌尿外科
Author(s):
WANG Ke; YU Sheng-qiang; MEN Chang-ping; LIN Chun-hua; GAO Zhen-li
关键词:
后腹腔镜; 上尿路; 上皮癌; 经尿道电凝; 无瘤原则
摘要:
目的 探讨经尿道电凝联合后腹腔镜治疗上尿路上皮癌(UUT-UC)的可行性和有效性.方法 选择我院2010年2月至2012年10月进行的168例后腹腔镜下上尿路上皮癌根治术,其中实验组(83例)采用经尿道电凝联合后腹腔镜根治术(LNU),对照组(85例)采用联合经尿道电切的后腹腔镜上尿路尿路上皮癌根治术,进行回顾分析,比较两组的手术时间、术中出血量、术后住院时间、肿瘤复发率.结果 两组168例后腹腔镜上尿路上皮癌根治术均成功完成,未出现死亡或重大并发症.两组在手术时间、术中出血量、肿瘤分期和肿瘤分级方面差异均无统计学意义.实验组住院时间较对照组缩短,差异有统计学意义.两组1年肿瘤复发率分别为1.6％和13.1％,差异有明显统计学意义.结论 联合经尿道电凝的腹腔镜上尿路上皮癌根治术能够减少患者住院时间,减少肿瘤细胞种植,降低肿瘤复发率,最大程度地符合上尿路上皮癌的无瘤治疗原则,值得临床推广.

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更新日期/Last Update: 1900-01-01