后腹腔镜单纯肾切除术治疗良性无功能肾的疗效分析

目的:探讨后腹腔镜单纯肾切除术治疗良性无功能肾的临床疗效。方法:回顾分析2009年8月至2013年2月为20例良性无功能肾患者行后腹腔镜单纯肾切除术的临床资料。其中肾盂输尿管结合部狭窄4例,肾盂结石2例,输尿管结石10例,肾结核4例。肾动静脉均用Hem-o-lok夹闭后切断。结果:20例手术均获成功,无中转开放手术及严重并发症发生,术中均未输血。镜下操作时间平均(74.10±19.98)min,术中出血量平均(35.85±40.18)ml,术后平均住院(5.55±0.94)d。结论:后腹腔镜单纯肾切除术治疗良性无功能肾安全、有效,具有患者创伤小、康复快的优点,值得推荐使用。

Effect analysis of retroperitoneat laparoscopic simple nephrectomy for benign nonfunctioning kidneys

Objective： To evaluate the therapeutic effect of retroperitoneal laparoscopic simple nephrectomy for benign nonfunc- tioning kidneys. Methods：From Aug. 2009 to Feb. 2013,20 patients with benign nonfunctioning kidneys were treated by retroperitoneal laparoscopic simple nephrectomy. The primary diseases were ureteropelvie junction stenosis in 4 patients, pelvis calculus in 2 cases, ure- teral calculus in 10 cases ,and renal tuberculosis in 4 cases. The renal artery and veins were severed after the vessels were blocked with Hem-o-lok. The clinical data was retrospectively analyzed. Results： All the operations were completed successfully without any serious complications. No case was converted to open operation. The mean laparoscopic operation time was （74.10 ± 19.98 ） rain, the mean blood loss was （35.85 ± 40.18 ） ml, and the mean postoperative hospital stay was （5.55 ± 0.94） d. No case needed blood transfusion. Conclusions ： Retroperitoneal laparoscopic simple nephrectomy is safe and effective for benign nonfunctioning kidneys with advantages of minimal trauma and rapid recovery. This procedure is worthy of recommendation.