Abstract
The study objective is to perform comparative analysis of short-term results of retroperitoneoscopic and laparoscopic radical nephrectomy for large kidney tumors. Materials and methods . The study is based on the results of examination and treatment of 108 patients with stage Т 1—3 а renal cell carcinoma. Results . For retroperitoneoscopic radical nephrectomy, significant decrease in operative time, ligation and transection of the renal hilum, lower carbon dioxide expenditure, less intense pain sensations on day 1 after the surgery, lower analgesics expenditure, and hospitalization time. Conclusion . The results show the advantages of retroperitoneoscopic radical nephrectomy compared to laparoscopic nephrectomy.
Highlights
Comparative analysis of short-term results of retroperitoneoscopic and laparoscopic radical nephrectomy for large kidney tumors Z.A
The study is based on the results of examination and treatment of 108 patients with stage T1–3а renal cell carcinoma
The results show the advantages of retroperitoneoscopic radical nephrectomy compared to laparoscopic nephrectomy
Summary
2. Создание рабочего пространства при ретроперитонеоскопическом доступе к левой почке Fig. 2. Creation of working space during retroperitoneoscopic access to the left kidney v. 4. Пересечение почечной артерии (в данном случае представлена одним стволом) Fig. 4. Transection of the renal artery (presented as one stem in this case). 6. Стволы почечной вены клипированы и подготовлены к пересечению Fig. 6. Stems of the renal vein are clipped and ready for transection. Вскрытии брюшины по линии Тольди, лимфодиссекции по показаниям, мобилизации сосудистой ножки, клипировании и пересении сосудов, мобилизации мочеточника и почки с паранефральной клетчаткой, помещении макропрепарата в специальный контейнер и удалении последнего из мини доступа. При больших опухолях с поражением верхнего сегмента и интимным сращением или вовлечением в процесс надпочечника у 12 (23,1 %) пациентов 1‐й группы и у 14 (25,0 %) больных 2‐й выполнена адреналэктомия. Назогастральный зонд установили 56 (56,43 %) больным и его удаляли в течение суток после операции
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