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后腹腔镜肾切除术临床体会
引用本文:陈志雄,周均洪,唐炎权,郭晓辉,董洪海.后腹腔镜肾切除术临床体会[J].腹腔镜外科杂志,2006,11(4):303-305.
作者姓名:陈志雄  周均洪  唐炎权  郭晓辉  董洪海
作者单位:暨南大学医学院第六附属医院,广东,江门,529000;暨南大学医学院第六附属医院,广东,江门,529000;暨南大学医学院第六附属医院,广东,江门,529000;暨南大学医学院第六附属医院,广东,江门,529000;暨南大学医学院第六附属医院,广东,江门,529000
摘    要:目的:探讨后腹腔镜肾切除术的技术要点及临床应用价值。方法:回顾分析30例后腹腔镜肾切除术临床资料,其中肾结石重度肾积水16例,肾萎缩8例,肾癌4例,肾盂癌2例。结果:手术成功率100%,无中转开放手术,平均手术时间90m in,平均出血量60m l,未发生严重并发症。结论:后腹腔镜肾切除术具有创伤小、疼痛轻、恢复快等优点,可逐步替代传统的肾切除术。

关 键 词:腹腔镜术  肾切除术
文章编号:1009-6612(2006)04-0303-03
收稿时间:2006-04-12
修稿时间:2006年4月12日

Clinical application of retroperitoneal laparoscopic nephrectomy
CHEN Zhi-xiong, ZHOU Jun-hong, TANG Yan-quan.Clinical application of retroperitoneal laparoscopic nephrectomy[J].Journal of Laparoscopic Surgery,2006,11(4):303-305.
Authors:CHEN Zhi-xiong  ZHOU Jun-hong  TANG Yan-quan
Abstract:Objective:To discuss the clinical value and techniques of retroperitoneal laparoscopic nephrectomy.Methods:Retroperitoneal laparoscopic nephrectomy was carried out in 30 cases including 16 cases of non-functioning kidney caused by urolithiasis,8 cases of atrophic kidney,4 cases of radical resection of renal cancer and 2 cases of total resection of kidney and ureter for the reason of carcinoma of renal pelvis.Results:All the operations were successfully.The mean operative time was 90 minutes and the mean intraoperative blood loss was 60ml.No serious operative complications occurred.Conclusions:The retroperitoneal laparoscopic nephrectomy has the advantages of minimal invasion,less pain and rapid recovery,and will be carried out more and more instead of the traditional open surgery of nephrectomy.
Keywords:Laparoscopy  Nephrectomy
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