后腹腔镜结核性无功能肾切除22例临床分析  

Retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidneys:a clinical analysis of 22 cases

作　　者：蔡恒 郭建军 梁荣兴 袁鹏飞 

机构地区：[1]武警四川省总队医院泌尿外科,四川乐山614000

出　　处：《微创泌尿外科杂志》2014年第2期93-95,共3页Journal of Minimally Invasive Urology

摘　　要：目的：探讨应用后腹腔镜在结核性无功能性肾切除的临床价值。方法：回顾分析2008年9月~2013年3月对22例结核性无功能肾患者行后腹腔镜肾切除术的临床资料。结果：22例手术均顺利完成,无中转开放手术。手术时间70~140 mi n ,平均90 mi n 。术中失血量40~350 ml ,平均100 ml 。术后住院4~8 d ,平均6 d 。术中4例肾包膜撕裂少许干酪样脓液外渗,6例腹膜损伤。所有患者切口均一期愈合。术中术后无明显并发症。术后随访6~36个月,平均12个月,对侧肾功能正常。结论：后腹腔镜结核肾切除术是一种安全、有效的微创治疗方法,因其创伤小、出血少、恢复快,值得进一步临床推广。To investigate the application of retroperitoneal laparoscopic nephrecto my for tubercul ous nonfunctioning ki dneys .Methods :The clinical data of 22 cases of tubercul ous nonfunctioning kidneys treated by retro-peritoneal laparoscopic nephrecto my in our hospital from September 2008 to March 2003 were retrospectively ana-lyzed .Results :All procedures were successfully perfor med without conversi on to open operation .Operati on time 70-140 min ,Averagely 90 min .The estimated i ntraoperative blood loss was 40-350 mL ,average 100 mL .Postoperative hospital stay was 4-8d ,the average 6d .Adverse events i ncl uding 4 cases of renal capsular tear a little cheesy pus leakage and 6 cases of rupture .All the incisi on healed .With no obvi ous complication .The patients were followed up for 6-36 months ,average 12 months ,contralateral normal renal function .Conclusions :etroperitoneal laparoscopic ne-phrecto my for tubercul ous nonfunctioning kidneys is a safe ,effective and mini mally invasive treatment ,with less trau ma ,less bleeding ,quick recovery .It deserves further clinical promotion .

关 键 词：腹膜后径路 后腹腔镜 肾结核 肾切除术 

分 类 号：R692[医药卫生—泌尿科学]