后腹腔镜肾切除术的临床应用(附21例报告)

Clinical application of retroperitoneal laparoscopic nephrectomy:Report of 21 cases

目的 探讨后腹腔镜肾切除术的方法与适应证。 方法 2 0 0 3年 3月～ 12月 ,施行后腹腔镜肾切除术 2 1例 ,其中肾结石重度肾积水 12例 ,肾结核 1例 ,肾癌 6例 ,肾盂癌 2例。 结果 手术全部成功 ,无严重并发症发生。手术时间 2～3 5h ,平均 3h ;出血 10～ 30 0ml,平均 178ml。肾恶性肿瘤 8例随访 1～ 9个月 ,未见肿瘤复发转移。 结论 后腹腔镜肾切除术损伤小 ,住院时间短 ,病人康复快 ,适用于多种肾良、恶性疾病。

Objective To discuss the techniques and indications of retroperitoneal laparoscopic nephrectomy. Methods Retroperitoneal laparoscopic nephrectomy was carried out in 21 cases from March to December in 2003, including 12 cases of renal calculus associated with severe hydronephrosis, 1 case of renal tuberculosis, 6 cases of renal carcinoma and 2 cases of renal pelvis carcinoma . Results All the operations were successfully completed and no serious complications were observed. The operation time was 2 hours ～ 3 5 hours (mean, 3 hours) and the blood loss was 10 ml ～ 300 ml (mean, 178 ml). Follow-up for 1 months ～ 9 months in 8 cases of renal carcinoma showed no recurrence or metastasis. Conclusions Retroperitoneal laparoscopic nephrectomy has advantages of minimal invasion, short hospital stay and rapid recovery, indicated for many kinds of benign or malignant renal diseases .