后腹腔镜肾切除术22例分析

Retroperitoneal laparoscopic nephrectomy:an analysis of 22 cases

目的：探讨后腹腔镜肾切除术的方法及临床效果。方法：回顾性分析22例后腹腔镜肾切除术的临床资料,其中单纯性肾切除12例,肾癌根治术10例。结果：22例手术均获成功,无中转开放。手术时间90~240 min;出血量60~220 ml;术后住院6~12天;术中及术后无明显并发症。10例肾癌患者随访2~21个月,未见肿瘤复发及穿刺通道的种植转移。结论：后腹腔镜肾切除术具有创伤轻、出血少、术后恢复快、临床疗效良好等优点。

Objective：To investigate the surgical technique and clinical effect of retroperitoneal laparoscopic nephrectomy.Methods：Retroperitoneal laparoscopic nephrectomy was conducted in 22 cases,included 12 cases of simply nephrectomy and 10 cases of radical nephrectomy.Results：All operations were performed successfully without conversion to open surgery.Operation time was 90-240 min.Blood lose was 60-220 ml.The postoperative hospital stay was 6-12 days.There was no complication during and after operation.Local or systemic relapse and tumor seeding in port sites was not observed in 10 cases of renal carcinoma with follow-up of 2-21 months.Conclusions：Retroperitional laparoscopic nephrectomy,with minimal invasion,less blood lose and quicker postoperative recovery,is a practical procedure.