后腹腔镜切除积水无功能肾17例

目的探讨后腹腔镜积水无功能肾切除术的手术方法和效果。方法对17例积水无功能肾患者行后腹腔镜积水无功能肾切除术。腰部3个Trocar穿刺入路，手指法建立后腹膜气腹，游离出部分病变肾脏后先将肾脏切开一小口，吸净积水肾内的积水，然后再游离肾脏，用钛夹或Hem-o-lok夹闭肾蒂血管后切断，切除患肾，留置腹膜后引流管。统计手术时间、术中出血量和术中、术后并发症及观察手术效果。结果17例手术均获得成功，手术时间为150．300min，平均为170min。术中出血10-80ml，平均30ml。引流管于术后2-3d拔除，无大出血、感染、腹膜破裂、腹腔脏器损伤等并发症。结论后腹腔镜积水无功能肾切除术是一种微创、安全、有效、恢复快的术式。

Retroperitoneoscopic nephrectomy for nonfunctioning kidney with hydronephrosis:Report of 17 cases

Objective To explore the operation methods and results of retroperitoneoscopic nephrectomy for the treatment of nonfunctioning kidney with hydronephrosis. Methods Retroperitoneoscopic nephrectomy was performed in 17 cases with nonfunctioning kidney with hydronephrosis. The retroperitoneal cavity were established with the fingers separating method. Afterwards, 3 trocars were inserted through lumbar region, the kidney was dissociated partially, and made a small hole, the intrarenal fluid was drawn out. Then t...