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目的:探讨后腹腔镜肾切除术的方法与适应证。方法:于2004年5月~2007年2月对肾结石合并重度肾积水39例、肾结核15例、肾癌7例、肾盂癌4例患者行后腹腔镜肾切除术,并对临床效果进行评价。结果:手术均获成功,无严重并发症发生。手术时间1.5~3.0 h,平均2 h;出血10~200 ml,平均78 ml。11例肾恶性肿瘤随访3~9个月,未见肿瘤复发转移。结论:后腹腔镜肾切除术损伤小,住院时间短,病人康复快,适用于多种肾良、恶性疾病。
Objective: To investigate the methods and indications of retroperitoneoscopic nephrectomy. Methods: From May 2004 to February 2007, 39 cases of severe hydronephrosis with nephrolithiasis, 15 cases of renal tuberculosis, 7 cases of renal cancer and 4 cases of renal pelvic cancer underwent laparoscopic nephrectomy. The clinical effects Evaluation. Results: All the operations were successful without serious complications. Surgery time 1.5 ~ 3.0 h, an average of 2 h; bleeding 10 ~ 200 ml, an average of 78 ml. 11 cases of malignant renal cell carcinoma were followed up for 3 to 9 months, no tumor recurrence and metastasis. Conclusions: The retroperitoneal laparoscopic nephrectomy has less injury, shorter hospital stay and quick recovery. It is suitable for many kinds of nephrotic and malignant diseases.