腹腔镜经腹入路肾切除术35例报道

目的 探讨腹腔镜在肾切除手术中的应用。方法 采用腹腔镜技术经腹腔进行单纯性肾切除、根治性肾切除或肾输尿管全切术。结果 所有手术均获成功。腹腔镜手术55～140min，平均87．2min；术中出血量50～130mL，平均85．5mL；术中、术后均未输血，无明显并发症。结论 腹腔镜肾切除术具有损伤小、术后恢复快和住院时间短等优点，有良好的临床应用前景。

Laparoscopic nephrectomy (report of 35)

Objective: The experience with Laparoscopic nephrectomy or nephroureterectomy was reported. Methods: Since February 2000, 35 patients underwent peritoneoscopic or retroperitoneoscopic nephrectomy;radical nephretomy or nephroureterectomy with the latter in combination with cystoscope. Results: All operations were successful, operation time for nephrectomy was 55 to 140, with an average or 87.2 min. All patients did not receive blood transfusion and had no obvious complications. Conclusions: Laparoscopic nephrectomy has the characteristicsof minimal morbidity, mimimal postoperative discomfort and a short hospital stay. It should be widely adopted in the future.