摘要
目的:探讨后腹腔镜肾切除术治疗重度积水无功能肾的临床疗效。方法:回顾分析我院2008年2月～2011年1月接受后腹腔镜肾切除术治疗的11例重度积水无功能患者临床资料,左侧9例,右侧2例。结果:1例因肾蒂粘连明显而中转开放手术,10例手术顺利,手术时间90～200min,平均115min。术中出血10～150mL,平均42mL,所有患者均未输血。无大出血、感染、腹腔脏器损伤等并发症发生。结论:后腹腔镜肾切除术治疗重度积水无功能肾安全、微创、有效、恢复快,且不干扰腹腔脏器,没有污染腹腔的危险。
Objective. To evaluate the clinical efficacy of retroperitoneai laparoscopic nephrectomy in treating nonfunctioning kidney with severe hydronephrosis. Methods： Eleven cases of nonfunctioning kidney caused by severe hydronephrosis were treated with retroperitoneal laparoscopic nephrectomy from February 2008 to October 2011 January. The clinical data were retrospectively analyzed, including left side in 9 cases and right side in2 cases. Results： All operations were performed successfully, except that l case turned to open surgery due to obvious adhesive renal pedicle. The operative time ranged from 90 to 200 minutes（mean 115 minutes）. Blood loss volumes ranged from 10 to 150 mL during operation（mean 42 mL）. No blood transfusion and no complications such as massive hemorrhage,infection,abdominal visceral injury etc. occurred. Conclusions= Retroperitoneal laparoscopic nephrectomy is safe, mini-invasive, effec-tive, and of less recovery time and no contamination of abdominal cavity in treating nonfunctioning kidney with severe hydronephrosis.
出处
《海南医学院学报》
CAS
2011年第8期1077-1079,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110273)~~
关键词
腹腔镜
肾切除术
肾积水
Laparoscopy
Nephrectomy
Hydronephmsis
