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单一体位经腹腔途径腹腔镜肾输尿管切除术

Xiao-bao CHENG,Guang-yan LUO,Zhen-quan LU,Lin XIONG,Yi JIANG

Journal of Modern Urology（2020）

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Abstract
虽然开放肾输尿管切除术是高危上尿路尿路上皮癌的标准治疗,但随着微创外科技术的发展,腹腔镜肾输尿管切除术已很大程度取代了传统的开放手术.本文通过回顾腹腔镜肾输尿管切除术治疗上尿路尿路上皮癌的现状,介绍单一体位经腹腔途径腹腔镜肾输尿管切除术的手术步骤及要点,同时认为该术式具有操作空间大、术中无需更换体位、整块切除输尿管远端及膀胱壁内段且肿瘤细胞种植机会少等优势,安全可行,值得临床推广.
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