腹膜后腹腔镜手术在泌尿外科中的应用

目的探讨腹膜后腹腔镜手术在泌尿外科中的应用。方法 2006年7月~2010年12月我院共进行泌尿外科腹腔镜手术53例,其中肾上腺肿瘤切除3例,肾切除3例,肾囊肿去顶减压35例,输尿管切开取石术12例。结果 53例手术均成功。手术时间肾上腺肿瘤切除80~160min（平均110min）,肾切除术110~190min（平均130min）,肾囊肿去顶减压术40~100min（平均70min）,输尿管切开取石术70~170min（平均100min）。术中出血20~260ml（平均80ml）。术后住院6~12d,平均8d。结论腹膜后腹腔镜手术具备切口小、损伤小、出血少、住院时间短等优点,适合泌尿外科开展。

Applications of retroperitoneal laparoscopic surgery in urology

Objective To explore the clinic value of the retroperitoneal laparoscopic surgery in urology.Methods Our hospital a total of 53 cases of urological laparoscopic surgery,including 3 cases of adrenal tumor resection,3 cases of nephrectomy,35 cases of renal cyst decortication,and 12 cases of ureterolithotomy during July 2006 to December 2010.Results 53 patients were operated successfully.The operation time was 80～160 minutes in adrenalectomy（mean 110 minutes）,110～190 minutes in nephrectomy（mean 130 minutes）,40 to 100 minutes in renal cyst decompression（average 70 minutes）,70 to 170 minutes in ureterolithotomy（mean 100 minutes）.Blood loss was 20～260ml（mean 80ml）.6 to 12 days after hospitalization,an average of 8 days.Conclusion The merits of retroperitoneal laparoscopic surgery are small incision-minimal injury-less,bleeding and postoperative quick recovery.The retroperitoneal laparoscopes will play a more important role in urologic surgical procedures in the future.