经腹膜后腹腔镜单纯性肾切除术的临床应用(附11例报告)

Application of retroperitoneal laparoscopy in simple nephrectomy(report of 11 cases)

目的评价后腹腔镜下肾切除术的临床价值。方法采用后腹腔镜技术行单纯性肾切除11例。结果11例均手术成功,手术90￣240min,平均120min。术中出血30￣60mL,平均40mL。术后住院4、5d,术中、术后均未输血,未出现并发症。结论后腹腔镜下肾切除术微创,安全有效,术后恢复快,住院时间短,采用丝线结扎处理肾血管安全可靠,可降低手术成本。

[Objective] To explore the role of retroperitoneal laparoscopic simple nephrectomy. [Method] Retroperitoneal laparoscopic simple nephrectomy was performed on 11 patients. [Result] 11 patients were operated successfully. The mean surgical time was 120 rain （range 90-240 min）, and the mean estimated blood loss was 40 ml（range 30-60 mL）. The postoperative hospital stay was 4, 5 days without blood transfusion in operation and serious complications. [Conclusion] Retroperitoneal laparoscopic nephrectomy possesses the advantages of micro-invasion, effectiveness and safety, rapid rehabilitation after operation, short inpatient time. Treat renal vessel with surgeon＇s knot by common silk thread is safe and helpful to reduce cost.