后腹腔镜肾脏切除术35例报告  

Retroperitoneal laparoscopic nephrectomy(report of 35 cases)

作　　者：周伟民[1] 徐卓群[2] 秦振乾[1] 袁雪峰[1] 芮桦 

机构地区：[1]宜兴市人民医院泌尿外科,江苏宜兴214200 [2]南京医科大学附属无锡市人民医院泌尿外科,无锡江苏214023

出　　处：《现代泌尿外科杂志》2009年第6期430-432,共3页Journal of Modern Urology

摘　　要：目的探讨后腹腔镜肾脏切除术的手术方法及临床效果。方法2005年1月至2008年12月行后腹腔镜肾切除术35例,其中肾癌根治术11例,肾盂癌根治术1例,单纯肾切除术23例。结果35例均顺利完成腹腔镜手术。手术时间45～305 min,平均(72.3±24.0)min,出血50～500 mL,平均(102±56)mL,术后平均住院(7.2±3.1)d。术后随访3～51个月,患者均生存。结论腹腔镜肾切除术具有创伤小、术中出血少、术后恢复快等优点,是一种安全、有效的治疗方法。Objective To assess the surgical methods and clinical effect of retroperitoneal laparoscopic nephrectomy. Methods A total of 35 patients （20 males, 15 females）, age 25-78y, mean （45.6±9.5）y underwent retroperitoneal laparoscopic nephrectomy during Jan. 2005 to Dec. 2008. Of them 11 received radical nephrectomy, 23 simple nephrectomy, and one radical nephrectomy with carcinoma of renal pelvis. Results Operations were carried on successfully. None of the 35 cases required open surgery. The operation time was 45-305 min, [mean （72.3±24.0）min], and blood lose was 50-500 mL E（mean（102±56）mL]. The postoperative hospital stay was （7.2±3.1）d. During the following-up of 3-51 months, all these 35 patients survived. Conclusion Laparoscopic nephrectomy is safe and effective with less trauma, less bleeding and faster postoperative recovery.

关 键 词：肾疾病 肾切除术 后腹腔镜 

分 类 号：R699.2[医药卫生—泌尿科学]