Retroperitoneal laparoscopic nephrectomy: an analysis of 22 cases

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.