后腹腔镜下无功能肾切除术临床研究（附32例报告）

A Report of 32 cases with retroperitoneal laparoscopic nephrectomy for nonfunctioning kidney

目的 探讨后腹腔镜无功能肾切除术的可行性及临床效果.方法 分析2006年6月～2010年1月行后腹腔镜无功能肾切除术32例临床资料（其中先天性肾盂输尿管连接部狭窄致肾积水无功能8例,结石梗阻致导致肾积水无功能10例,结核性无功能肾11例,萎缩肾3例）.结果 32例均获成功,无中转开放者.本组手术时间80-180min,平均（105±27）min;出血量20～210mL,平均（95±15）mL;术后住院时间5～7天;术中及术后均未输血及发生严重并发症.结论 后腹腔镜下无功能肾切除术具有创伤小,疗效确切,术后恢复快,并发症少等优点,可作为临床单纯肾切除的首选治疗方法.

Objectives To investigate the feasibility and the clinical effect of retroperitoneal laparoscopic nephrectomy. Methods Total 32 cases were performed retroperitoneal laparoscopic nephrectomy from June 2006 to Jan 2010, including 8 cases had hydronephrosis and non - functioning kidney with ureteropelvic junction obstruction,10 cases had hydmnephrosis and nonfunctioning kidney with calculi, 11 cases had nonfunctioning kidney with tuberculous and 3 cases had atrophyorenal. Results All operations were succeeded and effective. none changed to open operation during surgery. The operating time was 80 ～ 180 min with an average of （105±27）min;the blood loss volume was 20 ～210 mL, the mean blood loss was （95±15）mL;All patients were discharged 5 to 7 days after operation, the mean blood loss was （95 ± 15）mL. All patients did not receive blood transfusion and had no serivious complication. Conclusions Retroperitoneal laparoscopic nephrectomy for nonfunctioning kidney is proved to be efective with minimal invasion,quicker recovery procedre and less complication. It can be used as the perferred method of clinical simple nephrectomy.