后腹腔镜肾脏切除术的临床分析  

Retroperitoneal laparoscopic nephrectomy:A report of 25 cases

作　　者：马海[1] 李杨[1] 胡晓华[1] 艾可拜[1] 沈文来[1] 

机构地区：[1]解放军第15医院泌尿外科,新疆乌苏833000

出　　处：《西北国防医学杂志》2009年第2期112-113,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：探讨后腹腔镜肾切除术的临床价值。方法：回顾研究后腹腔镜肾脏切除手术治疗各类肾脏疾病25例，其中肾结石致无功能肾10例，肾癌8例，肾萎缩6例，肾盂癌1例。结果：25例手术均获得成功，平均手术时间96min，平均出血110ml，术后12～24h进食，术后住院5～8d，未出现严重手术并发症。25例随访1个月～2年，均健在，肿瘤病例未见复发。结论：后腹腔镜肾切除术具有创伤小、恢复快、安全可靠、不污染腹腔等优点，但应选择合适的病例进行治疗。Objective：To discuss the clinical value of retroperitoneal laparoscopic nephrectomy in the treatment of surgical kidney diseases. Methods： Twenty - five patients undergoing retroperitoneal were retrospectively analyzed, including kidney carcinoma （ n = 8 ）, renal atrophy （ n = 6 ）, stone combined with non- functioning and renal pelvic carcinoma （n = 1 ）. laparoscopic nephrectomy kidney （n = 10）, renal Results： Retroperitoneal ic nephrectomy was successfully performed in all the patients. The mean operation time was 96 min, the mean blood loss was 110 ml, and no severe operative complications occurred. All patients had taken food within 12 to 24 h and were discharged 5 to 8 days after operation. During a mean follow - up period of 15.2 months （ range, 1 to 24 months ）, all of the patients were alive, without tumor recurrence and metastasis. Conclusion： The retroperitoneal laparoscopic nephrectomy is a safe and feasible method in the treatment of selected patients with surgical kidney diseases, possessing advantages of minimal invasion and quicker postoperative recovery, and avoiding contamination of abdominal cavity.

关 键 词：肾切除术 腹腔镜 腹膜后 

分 类 号：R699.2[医药卫生—泌尿科学]