腹膜后腹腔镜治疗泌尿外科疾病25例疗效观察

Retroperitoneal laparoscopic surgery for treating urologic diseases in 25 cases

目的:探讨腹膜后腹腔镜在治疗肾上腺、肾脏及输尿管疾病中的临床效果。方法:采用腹膜后间隙小切口建立手术空间和通道的方法,对25例肾上腺疾病、肾脏肿瘤、肾囊性疾病、输尿管上段结石患者行腹膜后腹腔镜手术。结果:25例获得成功,无中转开放手术,无输血、无严重并发症发生,疗效满意。结论:腹膜后腹腔镜肾上腺切除术、肾脏切除术、肾囊肿去顶术、输尿管切开取石术具有创伤小、出血少、并发症少等优点,临床疗效可靠,实用性较强。

Objective：To investigate the clinical effects of retroperitoneal laparoscopic surgery in treatment of diseases of adrenal glands,kidneys and ureters.Methods：By using a mini-incision into retroperitoneal space to establish a surgical access,25 patients with diseases of adrenal glands,renal tumor,renal cysts,ureteral calculi were operated by means of retroperitoneal laparoscopic surgery.Results：The surgery was successfully accomplished in 166 patients with satisfactory therapeutic effect.No case was converted to open operation.There were no severe complications in these cases.Conclusion：Retroperitoneal laparoscopic surgery in urology has the advantages of minimal trauma,less blood loss and fewer complications.The clinical effects are reliable with strong practicability.