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題名 | Hand-Assisted Laparoscopic Radical Nephrectomy of Renal Cell Carcinoma--A Case Report=手洞輔助腹腔鏡切除腎癌--病例報告 |
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作者 | 周以和; 李經家; 王弘仁; 陳重欽; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 17:7 2001.07[民90.07] |
頁次 | 頁385-389 |
分類號 | 416.273 |
關鍵詞 | 手洞輔助腹腔鏡; 腎癌; Hand-assisted laparoscopy; Laparoscopy nephrectomy; Renal cell carcinoma; |
語文 | 英文(English) |
中文摘要 | 一位62歲女性病人因車禍而偶然發現右腎有一直徑約5公分之腫瘤, 我們以手洞輔助腹腔鏡手術做根除性腎臟切除手術,從肚臍上部皮膚7公分的切 口中拿出腎臟,大小為14×7×6公分,重量570公克,手術費時5小時,出血約 200cc,術中無輸血,患者復原良好,術中、術後均無併發症。本病例為本院第 一例,我們認為腹腔鏡微小侵襲性手術切除腎臟將會成為未來泌尿科手術之一較 好選擇。 |
英文摘要 | A 62-year-old female patient with chronic medical history of DM and hypertension was admitted due to traffic accident. She was asymptomatic until 5 days before admission. She was referred to our medical center with an abdominal CT revealing left renal tumor. The diameter of the renal mass was 50 mm. On ultrasonographic examination, a heterogenous lesion over the left kidney was noted. Renal scanning showed a cold nodule in the left kidney. Hand-assisted laparoscopic transperitoneal radical nephrectomy was performed smoothly. The kidney was removed from the hand port in the supraumbilical skin incision with a volume of 14?? cm3 and weight of 570 gm. The operation time was 5 hours, blood loss was 200 cc, and no significant change of blood pressure was noted during the surgery. The patient�s postoperative course was uneventful. The pathological report of this mass was renal cell carcinoma. |
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