腹膜后途径腹腔镜下肾切除35例  

35 cases of retroperitoneal laparoscopic nephrectomy

作　　者：罗洪星 汤志民 解良利 

机构地区：[1]贵州省铜仁地区人民医院泌尿外科,贵州铜仁554300

出　　处：《中国内镜杂志》2008年第7期748-749,752,共3页China Journal of Endoscopy

摘　　要：目的探讨基层医院无功能肾的微创治疗。方法采用腹腔镜经腹膜后途径对35例无功能肾行肾切除术。其中感染肾14例,结核肾3例。结果除1例脓肾因与结肠粘连紧密中转开放外,其余病例顺利完成手术。手术时间45～270min,术中出血50～300mL,无1例输血,术后24～48h肠功能恢复,平均住院时间(7±0.5)d,腰部负重时间为术后2、3周,术后1例患者继发肾窝感染,4例髂嵴上截孔感染,门诊换药7d痊愈。结论在基层医院可采用经腰途径腹腔镜下无功能肾切除术取代大部分无功能肾开放切除术。[Objective] To explore the way of Minimally Invasive treatment of nonfunctioning kidney in primary hospital. [Methods] 35 cases of nonfunctioning kidney, which included 14 cases of infection kidney, 3 cases of tuberculosis pyonephrosis, were performed retroperitoneal laparoscopic nephrectomy by celioscope through peritonaeum. [Results] Except for one pyonephrosis with dense perinephric adhesion turning to open, the rest operations were successful. Time for nephrectomy was 45 to 270 min, and the blood loss w...

关 键 词：腹腔镜 肾脏 肾切除术 

分 类 号：R699.2[医药卫生—泌尿科学]