腹腔镜肾切除17例报告

Laparoscopic nephrectomy (Report of 17 cases)

目的 :探讨腹腔镜在肾切除手术中的临床应用。方法 :采用腹腔镜技术分别经腹腔或腹膜后途径行单纯肾切除、根治性肾切除或肾输尿管全切术。结果 :除首例中途改行开放手术外 ,其余1 6例手术获得成功。肾切除手术时间为 90～ 1 80 min,平均 1 1 7min,术中及术后均未输血 ,所有病例无明显并发症。结论 :腹腔镜肾切除术具有损伤小、术后恢复快和住院时间短等优点 ,有良好的临床应用前景。

Purpose:The experience with laparoscopic nephrectomy or nephroureterectomy was reported.Methods:Since Feb.2000,17 patients (Including 3 cases of pevic or upper-segment transitional cell tumour,7 cases of renal cell carcinoma,3 cases of renal atrophy-induced hypertensin,2 cases of non-functioning calculus kidney and 2 cases of renal tuberculosis) underwent peritoneoscopic or retroperitoneoscopic nephrectomy,radical nephrectomy or nephroureterectomy with the latter in combination with cystoscope.Results:All operations were successful except the first case.Operation time for nephrectomy was 90 to 180 min with an average of 117 min.All patients did not receive blood transfusion and had no obvious complication.Conclusions:Laparoscopic nephrectomy had the characteristics of minimal morbidity,minimal postoperative discomfort and a short hospital stay.It may be used well in the future.