- 期刊
Comparison of Hand-Assisted Laparoscopic Nephroureterectomy with Open Surgery for Upper Urinary Tract Tumor
手洞輔助之腹腔鏡手術施行腎臟輸尿管全切除與傳統手術的比較
摘要
我們報告本科以手洞輔助之腹腔鏡手術施行腎臟輸尿管全切除的初步經驗，並和傳統開刀方式做比較。從2000年12月起至2001年9月止，有10位上段尿路惡性腫瘤的病人以此方式完成腎臟輸尿管全切除。除了一位病人因腎靜脈出血而必須改為傳統手術之外，我們將其餘9位病人和過去二年中接受傳統手術的35位病人做個統計。比較的項目包括人口統計學上、手術過程中及手術後的一些重要參數。這兩組在年齡、身高體重指數、手術時間及術後恢復進食時間均沒有明顯差異。然而在失血量、止痛劑的用量及手術後的住院天數，接受腹腔鏡的病人明顯比傳統手術要少很多，因此我們認為手洞輔助之腹腔鏡腎臟輸尿管全切除手術是一種安全、有效的手術方式。正因為它有著侵入性較傳統手術少的優點，我們相信對於治療腎臟或輸尿管惡性腫瘤，它將成為一種可以代替傳統手術的方式。
關鍵字
無資料並列摘要
Herein we report on our initial experience in performing nephroureterectomy by hand—assisted laparoscopic surgery, and compare the results with those performed by traditional open methods. From December 2000 to September 2001, 10 patients with upper urinary tract tumors underwent hand-assisted laparoscopic nephroureterectomy. Except for one patient who required elective conversion to open surgery due to renal vein injury, this cohort of 9 patients was compared to a group of 35 patients who had received traditional open nephroureterectomy over the last 2 years. Demographic, intraoperative and postoperative data were compared retrospectively. These two groups were similar in age, body mass index, operation time and time to postoperative oral intake. However, the hand-assisted laparoscopy group was found to have significantly less blood loss, less need for parenteral narcotic and a shorter length of time needed for postoperative hospitalization than the open group. Thus, in this report we have demonstrated handassisted laparoscopic nephroureterectomy to be a safe and efficacious treatment of malignant urinary collecting tumors. We believe the benefits of this minimally invasive surgery make it a viable alternative technique for management of upper urinary tract tumor.
延伸閱讀
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