经腹膜后途径单纯肾切除术35例临床分析

目的：探讨后腹腔镜肾切除手术在基层医院中的开展应用。方法：对本院2008年3月～2010年1月,35例腹腔镜采用腹膜后途径行单纯肾切除手术进行统计。对该35例患者的手术方法、手术时间、术中出血量、术后并发症及住院时间等数据进行回顾性分析。结果：本组34例获得成功,1例中转改开放手术。手术时间65～240min,术中出血30～110ml,术后住院时间3～6d,术后下床时间20～30h,3例发生皮下气肿,自行消失。未出现切口感染,也没有严重并发症发生。结论：后腹腔镜肾切除具有切口小、创伤小、住院时间短和术后恢复快的优点,能在基层医院推广。

Retroperitoneal approach simple nephrectomy of 35 cases

Objective： To evaluate laparoscopic nephrectomy at the grassroots level in hospitals on the application. Methods： The hospital from March 2008 to January 2010, 35 patients with retroperitoneal laparoscopic nephrectomy way with simple statistics. The 35 cases of surgical procedures, operative time, blood loss, postoperative complications and length of stay data were analyzed retrospectively. Results： The success of 34 cases, 1 was converted to open operation. Operative time was 65 - 240 min, blood loss 30 - 110 ml, postoperative hospital stay was 3 - 6 days, after bed time, 20 - 30 hours, 3 patients had subcutaneous emphysema, go away. Wound infection did not occur, and no serious complications. Conclusion： The laparoscopic nephrectomy with small incision, less trauma and shorter hospital stay and quicker recovery advantages in primary hospitals.