后腹腔镜肾切除术

目的探讨后腹腔镜单纯性肾切除术的临床价值。方法对17例患者采用后腹腔镜行单纯性肾切除术，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创伤小、恢复快.

Retroperitoneal laparoscopic nephrectomy

Objective To discuss the clinical value of retroperitoneal laparoscopic simple nephrectomy. Methods Retroperitoneal laparoscopic simple nephrectomy was performed in 17 patients. The operation was conducted via retroperitoneal approach. After the upper ureter and the renal pedicle were exposed, the renal artery and vein were clipped and severed. The renal pedicle was occluded only with titanium clips before the removal of the kidney. Results All the operations were performed successfully without complications. The operation time was 90 - 220 rain （mean, 150 min） and the intraoperative blood loss, 80 - 150 ml （mean, 120 ml）. The postoperative hospital stay ranged 5 -7 days. Conclusion Retroperitoneal laparoscopic simple nephrectomy has advantages ofminimal invasion, short hospital stay and rapid recovery.