[1]宋体松,张成辉,葛玉锋,等.后腹腔镜单纯性肾切除术6例报告[J].中国微创外科杂志,2005,05(8):659-660.
　Song Tisong,Zhang Chenghui,Ge Yufeng,et al.Retroperitoneal laparoscopic simple nephrectomy: Reports of 6 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,05(8):659-660.
点击复制

后腹腔镜单纯性肾切除术6例报告()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年8期
页码:
659-660
栏目:
出版日期:
2005-08-31

文章信息/Info

Title:
Retroperitoneal laparoscopic simple nephrectomy: Reports of 6 cases
作者:
宋体松; 张成辉; 葛玉锋; 张荣侠
江苏省泗洪县人民医院泌尿外科,泗洪,223900
Author(s):
Song Tisong;  Zhang Chenghui;  Ge Yufeng;  et al.
Department of Urology, SihongPeople’s Hospital, Sihong223900, China
关键词:
腹腔镜; 无功能肾; 单纯性肾切除
Keywords:
Laparoscopy; 　Non-functioning kidney; 　Simple nephrectomy
分类号:
R699.2
文献标志码:
A
摘要:
目的探讨后腹腔镜单纯性肾切除术的临床价值. 方法采用后腹腔镜行单纯性肾切除术6例,其中输尿管结石致肾积水无功能肾5例,肾结核1例.经后腹腔操作,分离出输尿管显露肾蒂, 肾动脉、肾静脉钛夹夹闭后切断,单纯采用钛夹处理肾蒂切除肾脏. 结果手术均获成功,无手术并发症发生.手术时间130～220 min,平均150 min;术中出血量80～150 ml,平均120 ml;术后住院5～7 d.5例输尿管结石随访3个月,肾功能正常;1例肾输尿管结核抗结核治疗6个月,随访无复发,血肌酐120 μmol/L稍高于正常. 结论腹腔镜单纯性肾切除术创伤小、恢复快,可成为单纯性肾切除的金标准术式.
Abstract:
Objective　To discuss the clinical value of retroperitoneal laparoscopic simple nephrectomy.　M ethods　 Retroperitoneal laparoscopic simple nephrectomywas performed in 6 patients, including 5 cases of severe hydronephrosiswith non- functioning kidney resulted from ureteral calculi and 1 case of renal tuberculosis. The operation was conducted via retroperitoneal approach. After the upper ureter and the renal pedicle were exposed, the renal artery and vein were clipped and severed. The renal pediclewas occluded only with titanium clips before the removal of the kidney.　Results　All the operations were performed successfullywithout complications. The operation timewas 130~220 min (mean, 150 min) and the intraoperative blood loss, 80~ 150 ml (mean, 120 ml). The postoperative hospital stay ranged 5 ~7 days. Follow-ups for 3 months in the 5 patients with ureterolithiasis revealed normal renal functions. The patientwith renal tuberculosiswas given anti-tuberculosis therapy and followed for6 months. No recurrencewas seen and the patient’s serum creatinine levelwas 120μmol/L, which was slightly higher than the norma.l　Conclusions　Retroperitoneal laparoscopic simple nephrectomy has advantages ofminimal invasion, short hospital stay and rapid recovery. The procedure should be regarded as the“golden standard”for simple nephrectomy.

参考文献/References:

[1]Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol,1991,146:278-282.
[2]Gaur DD. Laparoscopic operative retroperitonescopy: use of new device. J Urol, 1992,148:1137-1139.
[3]那彦群,吴刚,郝金瑞,等.泌尿外科腹腔镜手术141例分析.中华外科杂志,1998,36:144-145.
[4]俞天麟.肾动脉外科解剖学.见:吴阶平,主编.吴阶平泌尿外科学.下卷.济南:山东科学技术出版社,2004.1725.

更新日期/Last Update: 2014-04-10