目的探讨手助腹腔镜根治性肾切除术的临床应用价值。方法采用手助腹腔镜根治性肾切除治疗肾肿瘤21例。结果21例手助腹腔镜手术均成功。手术时间80￣150min,平均110min;术中出血20￣300mL,平均85mL;病理报告均为肾细胞癌(透明细胞癌20例,乳头状细胞癌1例);术后住院时间5￣14d,平均8d。结论采用手助腹腔镜根治性肾切除治疗肾肿瘤是安全有效的,与开放手术相比,具有损伤小、痛苦少、出血少、术后恢复快等优点。 Objective To investigate the clinical value of hand-assisted laparoscopic radical nephrectomy. Methods Hand-assisted laparoscopic radical nephrectomy in 21 cases of renal tumors. Results 21 cases of hand assisted laparoscopic surgery were successful. The average operative time was 80 to 150 min with an average of 110 min. The intraoperative blood loss was 20 to 300 mL with an average of 85 mL. The pathological reports were renal cell carcinoma (20 cases of clear cell carcinoma and 1 case of papillary cell carcinoma) 8d. Conclusions The hand-assisted laparoscopic radical nephrectomy is a safe and effective treatment for renal tumors. Compared with open surgery, it has the advantages of less damage, less pain, less bleeding and quick recovery after operation.