经腹膜后腹腔镜肾切除术35例临床分析

目的：探讨经腹膜后腹腔镜单纯性肾切除术的临床价值。方法：采用经腹膜后腹腔镜手术行单纯性．肾切除术35例，经后腹腔操作，分离出输尿管，显露肾蒂，肾动脉、肾静脉钛夹夹闭后切断，单纯采用钛夹处理肾蒂，切除肾脏。结果：手术均获成功，无手术并发症发生。手术时间90．220min，平均150min；术中出血量80～150ml，平均120ml；术后住院5～7d。结论：腹腔镜单纯性肾切除术具有术中创伤小、出血少、术后恢复快等显著优点。

The Clinic Analysis of 35 Patients with Retroperitoneai Laparoscopic Nephrectomy

Objective： To discuss the clinical value of retroperitoneal laparoscopic simple nephrectomy. Method： Retroperitoneal laparoscopic simple nephrectomy was performed in 35 patients. The operation was conducted via retroperitoneal approach. After the upper ureter and the renal pedicle exposed, the renal artery and vein were clipped and severed. The renal pedicle was occluded only with titanium clips hefore the removal of the kidney. Result： All the operations were performed successfully without complications. The operation time was 90-220 min, and the intraoperative blood loss 80-150 ml. The postoperative hospital stay ranged 5-7 days. Conclusion： Retroperitoneal laparoscopic simple nephrectomy has advantages of minimal invasion, short hospital stay and rapid recovery.