后腹腔镜肾切除术22例分析

Retroperitoneal laparoscopic nephrectomy: an analysis of 22 cases

摘要: 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。

Abstract: 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.