后腹腔镜肾切除术的初步体会(附28例报告)  

Retroperitoneal laparoscopic nephrectomy: a clinical report of 28 cases

作　　者：侯宇川[1] 王春喜[1] 张宏煜[2] 姜凤鸣[1] 张宝刚[1] 

机构地区：[1]吉林大学第一医院泌尿外科,吉林长春130021 [2]长春市双阳区医院,吉林长春130000

出　　处：《吉林医学》2006年第1期8-9,共2页Jilin Medical Journal

摘　　要：目的:总结后腹腔镜肾切除术的手术治疗方法和临床体会。方法:回顾研究后腹腔镜肾脏切除手术治疗各类肾脏疾病28例,其中肾癌14例,肾盂癌7例,上段输尿管癌2例,肾萎缩4例,肾结核1例。结果:手术均获成功,无手术并发症发生。手术时间75～160min,平均95min;术后8～24h进食,术后住院7～11d。结论:后腹腔镜肾脏切除手术具有损伤小、恢复快、住院时间短,对腹腔脏器干扰少等优点,具有良好的临床应用前景。Objective To discuss the clinical value of retroperitoneal laparoscopic nephrectomy. Method A retrospective study of 28 cases who had received retroperitoneal laparoscopic nephrectomy was made. The cases included 14 cases of renal carcinoma,7 cases of carcinoma of renal pelvis,2 cases of carcinoma of ureter,4 cases of non-functioning and atrophic kidney,1 case of renal tuberculosis. Results All the operations were accomplished successfully. No complication occurred post operation. The operative time was 75-160min.All the padents had taken food within 8-24h post operation and were discharged 7-11 days post operation. Conclusion Retroperitoneal laparoscopic nephrectomy has the advantages of minimal invasion, rapid recovery and less intervention to the peritoneal organs. This technique deserve further spreading.

关 键 词：腹腔镜 肾切除术 

分 类 号：R699.2[医药卫生—泌尿科学]