[1]崔昊昱,王梁,戴志红,等.联合吸除法治疗中央型肾错构瘤一例报道并文献复习[J].中华腔镜泌尿外科杂志(电子版),2017,11(06):389-392.[doi:10.3877/cma.j.issn.1674-3253.2017.06.008 ]
 Cui Haoyu,Wang Liang,Dai Zhihong,et al.Laparoscopic resection and aspiration for central renal angiomyolipoma: one case report and literatures review[J].,2017,11(06):389-392.[doi:10.3877/cma.j.issn.1674-3253.2017.06.008 ]
点击复制

联合吸除法治疗中央型肾错构瘤一例报道并文献复习()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年06期
页码:
389-392
栏目:
临床研究
出版日期:
2017-11-30

文章信息/Info

Title:
Laparoscopic resection and aspiration for central renal angiomyolipoma: one case report and literatures review
作者:
崔昊昱王梁戴志红常成王镇伟陈志岐苏婕刘志宇
116023 山东,大连医科大学附属第二医院泌尿外科
Author(s):
Cui Haoyu Wang Liang Dai Zhihong Chang Cheng Wang Zhenwei Chen Zhiqi Su Jie Liu Zhiyu.
Department of Urology, the Second Hospital of Dalian Medical University, Shandong 116023, China
关键词:
肾错构瘤 保留肾单位 吸除法腹腔镜
DOI:
10.3877/cma.j.issn.1674-3253.2017.06.008
摘要:
目的 探讨腹腔镜肿瘤切除联合吸除法治疗中央型巨大肾错构瘤的手术技巧及临床疗效。方法回顾性分析大连医科大学附属第二医院2015 年11 月收治的1 例中央型巨大肾错构瘤患者的临床资料并查阅相关文献。结果 本例患者顺利于后腹腔镜下行手术治疗,手术时间200 min,热缺血时间45 min,术中出血1 200 ml,术中输血600 ml。术后病理确诊为右肾血管平滑肌脂肪瘤。术后住院时间6 天,术后5 天离床活动。随访9 个月肾功正常,未见肿瘤复发和转移。结论腹腔镜肿瘤切除联合吸除法用于治疗复杂中央型肾错构瘤是一种安全、有效、微创的手术方式,但对于巨大肾错构瘤,肿瘤吸除后创面大、易出血,有关并发症及肿瘤学效果有待进一步研究。

参考文献/References:

[1] Flum AS, Hamoui N, Said MA, et al. Update on the diagnosis and management of renal angiomyolipoma[J]. J Urol, 2016, 195(4 Pt 1):834-846.
[2] Sivalingam S, Nakada SY. Contemporary minimally invasive treatment options for renal angiomyolipomas[J]. Curr Urol Rep,2013, 14(2): 147-153.
[3] Xu B, Zhang Q, Jin J. Laparoscopic aspiration for central renal angiomyolipoma: a novel technique based on single-center initial experience[J]. Urology, 2013, 81(2): 313-318.
[4] 吴海峰, 李广永, 李猛, 等. 肿瘤吸除术治疗中央型肾错构瘤[J].宁夏医学杂志, 2014, 36(11): 998-999.
[5] Murray TE, Doyle F, Lee M. Transarterial embolization of angiomyolipoma: a systematic review[J]. J Urol, 2015, 194(3): 635-639.
[6] Sasiwimonphan K, Takahashi N, Leibovich BC, et al. Small (<4 c)mrenal mass: differentiation of angiomyolipoma without visible fat from renal cell carcinoma utilizing Mr imaging[J]. Radiology, 2012, 263(1): 160-168.
[7] Seyam RM, Bissada NK, Kattan SA, et al. Changing trends in presentation, diagnosis and management of renal angiomyolipoma: comparison of sporadic and tuberous sclerosis complex-associated forms[J]. Urology, 2008, 72(5): 1077-1082.
[8] Ljungberg B, Hedin O, Lundstam S, et al. Nephron Sparing Surgeyr Associated With Better Survival Than Radical Nephrectomy in Patients Treated for Unforeseen Benign Renal Tumors[J]. Urology, 2016, 93: 117-123.
[9] Lin CY, Yang CK, Ou YC, et al. Long-term outcome of robotic partial nephrectomy for renal angiomyolipoma[J]. Asian J Surg, 2016, pii: S1015-9584(16)30238-X.
[10] 陈日敢, 吕腾荣, 赖国修, 等. 后腹腔镜保留肾单位手术治疗巨大错构瘤[J/CD]. 中华腔镜外科杂志: 电子版, 2013, 6(4):292-294.
[11] Kuusk T, Biancari F, Lane B, et al. Treatment of renal angiomyolipoma: pooled analysis of individual patient data[J]. BMC Urol, 2015, 15(1): 123.
[12] Mir MC, Derweesh I, Porpiglia F, et al. Partial nephrectomy versus radical nephrectomy for clinical T1b and T2 renal tumor:s a systematic review and meta-analysis of comparative Studies[J.] Eur Urol, 2016, pii: S0302-2838(16)30533-4.
[13] Jinzaki M, Silverman SG, Akita HA, et al. Renal angiomyolipoma: a radiological classification and update on recent development sin diagnosis and management[J]. Abdom Imaging, 2014, 39(3): 588-604.
[14] Scosyrev Emil, Messing M, Sylvester Richard, et al. Renal funciton after nephron-sparing surgery versus radical nephrectomy: results from EORTC randomized trial 30904[J]. Eur Urol, 2014, 65(2):372-377.
[15] 王栋, 纪志刚, 李汉忠. 术前选择性动脉栓塞联合腹腔镜肿瘤剜除术在肾错构瘤中的应用[J]. 中国微创外科杂志, 2016, 16(2):101-105.

相似文献/References:

[1]闫永吉,李炯明,刘建和,等.后腹腔镜肾错构瘤剜除术:附15例报告[J].中华腔镜泌尿外科杂志(电子版),2011,(03):186.
 YAN Yong-ji,LI Jiong-ming,LIU Jian-he,et al.Retroperitoneal laparoscopic enucleation for treatment of renal hamartoma: A report of 15 cases[J].,2011,(06):186.

备注/Memo

备注/Memo:
基金项目:辽宁省科学技术计划项目(2015020289)
通讯作者:刘志宇,Email:lzydoct@163.com
更新日期/Last Update: 2017-12-25