后腹腔镜肾切除术的临床体会

Clinical application of retroperitoneal laparoscopic nephrectomy

目的总结腹膜后腹腔镜肾切除手术的临床经验。方法回顾分析后腹腔镜肾脏切除术治疗18例各类肾脏疾病患者的临床资料，其中无功能肾积水12例，肾萎缩3例，肾结核2例，肾癌1例。结果手术均获成功，无手术并发症发生。手术时间80-180min，平均100分钟；术后8-24h进食，术后住院7-14d。结论腹膜后腹腔镜肾脏切除手术具有患者损伤小、康复快、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 summarize the clinical experience of retroperitoneal laparoscopic nephrectomy. Methods 18 patients with retroperitoneal laparoscopic nephreetomy, including 12 cases with non-functioning kidney and hydronephrosis, 3 cases with non-functioning and atrophic kidney,2 cases with renaltuberculosis and 1 case with renalcarcinoma, were retrospectively reviewed. Results All the operations were successfully accomplished without any complication after operative. The operative time was 80 to 180min with the average of 100min. The patients took food within 8-24h and were discharged on 7-14 days after operation. Conclusions Retroperitoneal laparoscopic nephrectomy demonstrates advantages in invasion, recovery and intervention to peritoneal organs.