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后腹腔镜肾切除术的临床应用(附30例报告)
引用本文:卢思保,汪官富,朱汝健,陈安屏,韩子华,王天济. 后腹腔镜肾切除术的临床应用(附30例报告)[J]. 现代泌尿外科杂志, 2008, 13(1): 12-13
作者姓名:卢思保  汪官富  朱汝健  陈安屏  韩子华  王天济
作者单位:浙江省台州医院路桥院区泌尿外科,浙江台州,318050
摘    要:目的探讨后腹腔镜肾切除术的方法和适应证。方法回顾分析30例后腹腔镜肾切除术的临床资料。结果30例手术均成功,手术时间92-270min,平均148.7min;术中出血40-880mL,平均256mL;2例术中输血200mL和400mL,术中和术后未发生严重的并发症。术后随访1-50个月,4例肾癌患者未见肿瘤复发或转移。结论后腹腔镜下肾切除术具有损伤小、住院时间短及术后康复快等优点,适用于多种肾良、恶性疾病。

关 键 词:肾切除术  腹腔镜  腹膜后
文章编号:1009-8291(2008)01-0012-02
收稿时间:2007-03-01
修稿时间:2007-06-08

Clinical application of retroperitoneal laparoscopic nephrectomy: a report of 30 cases
Lu Sibao,Wang Guanfu,Zhu Rujian,Chen Anping,Han Zihua,Wang Tianji. Clinical application of retroperitoneal laparoscopic nephrectomy: a report of 30 cases[J]. Journal of MOdern Urology, 2008, 13(1): 12-13
Authors:Lu Sibao  Wang Guanfu  Zhu Rujian  Chen Anping  Han Zihua  Wang Tianji
Affiliation:(Department of Urology, Taizhou Hospital Luqiao Branch, Taizhou 318050, China)
Abstract:Objective To discuss the techniques and indications of retroperitoneal laparoscopic nephrectomy. Methods The clinical data of 30 patients undergone retroperitoneal laparoscopic nephrectomy were retrospectively analyzed. Results All operations were completed successfully. The mean operation time was 148.7 min (92-25Q min), and the average blood loss was 256 mL (40 - 880 mL). 200 mL and 400 mL of blood was transfused in two cases respectively during the operation. 4 cases of renal carcinoma showed no recurrence or metastasis during 1 - 51 months of follow-up. Conclusion Retroperitoneal laparoscopic nephrectomy has advantages of minimal invasion, short hospital stay and rapid recovery, and can be used to treat many kinds of benign or malignant renal diseases.
Keywords:nephrectomy   laparoscopy   retroperitoneum
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