后腹腔镜结核性无功能肾切除术

目的:比较后腹腔镜结核肾切除术与开放手术的方法和疗效.方法:对7例无功能性结核肾行后腹腔镜结核肾切除术,同期11例行开放肾切除术,比较两组的手术时间、术中出血量、术后住院天数、并发症及手术疗效.结果:2组患者均顺利完成手术,平均手术时间分别为122 min(60～270 min)和96 rain(60～150 min),平均术中出血量分别为81 m1(20～400 m1)和255 ml(50～1 000 ml),平均术后住院天数分别为7天和9天,术中术后无明显并发症.结论:后腹腔镜结核肾切除术是一种安全、有效的微创治疗方法.后腹腔镜肾切除为肾结核的手术治疗提供了一条新的途径.

Retroperitoneoscopic nephrectomy for nonfunctioning tuberculous kidneys

Objective:To explore the technique and clinical efficacy of retroperitoneoscopic nephrectomy(RN) for tuberculous nonfunctioning kidneys and compare them with open surgery.Methods:From February 2004 to July 2007,7 patients underwent RN for tuberculous nonfunctioning kidneys at our center.During the same time period,11 open nephrectomy were performed for a similar indication.Hospital records were reviewed to obtain demographic data.In addition,operative time,estimated blood loss,postoperative hospital stay and complications was recorded.The outcome of RN for tuberculosis were compared with that of the open surgery.Results:Nephrectomy was successfully performed in both groups.There was no statistical difference between the retroperitoneoscopy group and open surgery group with regard to patient age,sex or mean operative time.Mean blood loss was significantly less in the retroperitoneoscopy group than in the open surgery group.Mean postoperative hospital stay was slightly shorter in the retroperitoneoscopy group compared with the open surgery group.No signifficant complication occured in either group.Conclusions:The results of this study indicate that RN for tuberculous nonfunctioning kidney is a safe,effective and less invasive treatment modality.Retroperitoneoscopic nephrectomy should be offered as the treatment modality of choice to all patients with tuberculous nonfunctioning kidney.