经腹膜后腹腔镜单纯性肾切除术的临床应用(附11例报告)

目的评价后腹腔镜下肾切除术的临床价值。方法采用后腹腔镜技术行单纯性肾切除11例。结果11例均手术成功，手术90-240min，平除术均120min。术中出血30-60mL，平均40mL。术后住院4、5d，术中、术后均未输血，未出现并发症。结论后腹腔镜下肾切微创，安全有效，术后恢复快，住院时间短，采用丝线结扎处理肾血管安全可靠，可降低手术成本。

Application of retroperitoneal laparoscopy in simple nephrectomy (report of 11 cases)

Objective] To explore the role of retroperitoneal laparoscopic simple nephrectomy. Method] Retroperitoneal laparoscopic simple nephrectomy was performed on 11 patients. Result] 11 patients were operated successfully. The mean surgical time was 120 min (range 90~240 min), and the mean estimated blood loss was 40 ml(range 30~60 mL). The postoperative hospital stay was 4, 5 days without blood transfusion in operation and serious complications. Conclusion] Retroperitoneal laparoscopic nephrectomy possesses the advantages of micro-invasion, effectiveness and safety, rapid rehabilitation after operation, short inpatient time. Treat renal vessel with surgeon's knot by common silk thread is safe and helpful to reduce cost.