经腹腹腔镜下重复肾及输尿管切除术治疗成人重复肾的安全性及疗效分析  

Analysis the Curative Effect and Security of Transperitoneal Laparoscopic Upper-pole Nephroureterectomy in Treatment of Adult Duplex Kidney Anomalies

作　　者：吕文伟[1] 霍庆祥[1] 张寒[1] 马魏魏[1] 

机构地区：[1]郑州大学附属洛阳中心医院泌尿外科,471000

出　　处：《中国继续医学教育》2016年第4期93-95,共3页China Continuing Medical Education

摘　　要：目的探讨经腹腹腔镜下重复肾及输尿管切除术治疗成人重复肾畸形的临床经验及手术疗效。方法回顾分析2011年6月～2015年6月为21例成人重复肾输尿管畸形患者行经腹腹腔镜下重复肾及输尿管切除术的临床资料,其中男7例,女14例,平均年龄（30.2±7.8）岁。21例重复肾均位于肾上极,其中左侧9例,右侧12例。结果 21例手术均获得成功,无中转开放手术。手术时间100～160 min,平均手术时间（126±35.0）min;术中出血量15～90ml,平均术中出血量（56±40）ml;术后肠道功能恢复时间1～3 d,平均恢复时间（2.0±1.0）d;术后住院时间6～12 d,平均住院时间（8.0±4.0）d。术后随访5～53个月,平均术后随访（32±27）个月,术中术后均未发生严重并发症,IVU显示下半正常肾功能良好,原发病的症状消失。结论腹腔镜重复肾输尿管切除术安全、有效,具有患者创伤小、康复快的优点,可作为治疗成人重复肾输尿管畸形的首选方法。Objective To study the clinical experiences and effects of transperitoneal laparoscopic upper-pole nephroureterectomy for the treatment of adult duplex kidney anomalies. Methods Selected The 21 patients had 7 males and 14 females with duplex kidney and ureter who underwent transperitoneal laparoscopic upper-pole nephroureterectomy clinical data from June 2011 to June 2015 in our hospital were analyzed retrospectively.Mean age was（30.2±7.8）years.All the duplex kidney located on the upper pole, with 9 cases on the left side and 12 cases on the right side. Results All patients underwent transperitoneal laparoscopic upper-pole nephroureterectomy successfully without conversion to open surgery. The mean operative time was range 100 to 160 minutes, the average was（126±35.0） minutes. The mean estimated blood loss was range 15 to 90 ml, the average was（56±40） ml. Postoperative intestinal function recovery time was range 1 to 3 days, the average was（2.0±1.0） days. The mean hospital stay was range 6 to 12 days, the average was（8.0±4.0） days.During the follow-up range 5 to 53 months, the average was（32±27） months, No postoperative complications occurred in all patients as confirmed by the examination of IVU, renal functions were normal and the primary symptoms disappeared. Conclusion Transperitoneal laparoscopic upper-pole nephroureterectomy for the treatment of adult duplex kidney anomalies is safe and effective with the advantages of less trauma and faster recovery, it can be the first choice to treat the adult patients with duplex kidney and ureter anomalies.

关 键 词：重复肾 上半肾输尿管切除术 腹腔镜 经腹腔 

分 类 号：R61[医药卫生—外科学]