Objective: To evaluate the clinical therapeutic effects of retroperitoneal laparoscopic radical nephrectomy for T1 renal cell carcinoma (RCC). Methods: A total of 352 patients with T1 RCC underwent radical nephrectomy in our study, and they were randomly divided into two groups, including 185 cases of retroperitoneal laparoscopic radical nephrectomy and 167 cases of open radical nephrectomy through an extraperitoneal 11th rib flank incision. All operations were performed by the same platoon doctors. There were no statistically significant differences in age, sex ratio, tumor stage, and serum creatinine between the two groups. The operation time, blood loss during operation, hospital stay, and postoperative complications were analyzed and compared. All cases were followed up for 25 ± 4 months (6–42 months) and the survival rates, wound healing, and carcinoma metastasis were recorded. Results: The operation time in retroperitoneal laparoscopic radical nephrectomy group versus open radical nephrecto...

Retroperitoneal laparoscopic and open radical nephrectomy for T1 renal cell carcinoma.

Introduction The use of imaging techniques such as ultrasound (US) and computed tomography (CT) has increased the detection of asymptomatic renal cell cancer (RCC). In addition, during the last 10 years, mortality rates have stabilised and even declined in some European countries. The peak incidence of RCC occurs between 60 and 70 years of age, with a 3:2 ratio of men to women. Aetiological factors include lifestyle, such as smoking, obesity and hypertension. The most effective prophylaxis is to avoid cigarette smoking and obesity.

https://uroweb.org/wp-content/uploads/10-Renal-Cell-Carcinoma_LR1.pdf

Guidelines on Renal Cell Carcinoma

目的 评价后腹腔镜下肾癌根治术的安全性及疗效.方法2002年11月至2004年7月于后腹腔镜下行肾癌根治术46例.男24例,女22例.年龄23～86岁,平均58岁.3例因无痛性全程肉眼血尿就诊,余43例为B超体检发现.所有患者腹部均未触及肿物.B超检查报告肿物直径1.5～8.0 cm,平均4.5 cm,肿瘤位于肾上极17例,肾中部13例,肾下极16例.46例均行CT检查,41例行MRI检查,报告肿物大小均与B超相符,术前临床分期:T1N0M03例,T2N0M038例,T3N0M05例.结果本组手术时间60～255 min,平均145 min;出血量20～1000 ml,平均133 ml;32例肿瘤位于肾上极、瘤体＞6 cm、肿瘤与肾血管关系紧密者均行肾上腺切除.3例发生手术并发症,其中1例为生殖腺静脉损伤,出血约1000 ml转开放手术;1例用直线切割器切右肾静脉时,误将腔静脉切割封闭了一半,但未出血;1例为直线切割器切断肾动脉后残端喷血,用钛夹止血.病理报告:肾透明细胞癌41例,囊性肾细胞癌2例,嫌色细胞癌1例,错构瘤1例,嗜酸细胞瘤1例.随访1～20个月,平均9个月,1例因肾癌肝转移,于术后1年死亡,其余病例仍无瘤生存.结论后腹腔镜下肾癌根治术安全可靠,疗效良好。

Retroperitoneoscopic radical nephrectomy

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Retroperitoneoscopic radical nephrectomy