[1]范正超 王永军① 李崇斌 尹航 黄天浩 刘建震**.后腹腔镜肾切除术治疗无功能结核肾48例报告[J].中国微创外科杂志,2020,01(9):826-829.
　Fan Zhengchao*,Wang Yongjun,Li Chongbin*,et al.Retroperitoneoscopic Nephrectomy for Tuberculous Nonfunctional Kidneys: Report of 48 Cases[J].Chinese Journal of Minimally Invasive Surgery,2020,01(9):826-829.
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后腹腔镜肾切除术治疗无功能结核肾48例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年9期
页码:
826-829
栏目:
临床研究
出版日期:
2020-09-25

文章信息/Info

Title:
Retroperitoneoscopic Nephrectomy for Tuberculous Nonfunctional Kidneys: Report of 48 Cases
作者:
范正超 王永军① 李崇斌 尹航 黄天浩 刘建震**
（河北省胸科医院泌尿外科，石家庄050000）
Author(s):
Fan Zhengchao*;  Wang Yongjun;  Li Chongbin*;  et al.
*Department of Urology, Hebei Chest Hospital, Shijiazhuang 050000, China
关键词:
后腹腔镜肾切除术; 肾结核
Keywords:
Retroperitoneoscopic nephrectomy; Tuberculous kidney
文献标志码:
A
摘要:
目的探讨后腹腔镜肾切除术治疗无功能结核肾的安全性和有效性。方法回顾性分析2013年6月~2019年6月后腹腔镜无功能结核肾切除术48例资料。术前均明确诊断为无功能性肾结核，对侧肾功能正常。肾脏游离层面前期20例沿肾包膜外游离，后期28例沿肾周脂肪囊外游离。仔细游离肾蒂，解剖出肾动静脉后切断。输尿管均游离至髂血管附近切断。结果48例手术均顺利完成，无中转开放手术。腹膜破裂5例，肾包膜破裂3例（其中2例脓液外流）。手术时间150~260 min，平均170 min，出血量50~300 ml，平均150 ml。术后住院时间8~14 d，平均9.5 d。切口感染2例。术后抗结核治疗并随访9~18个月，平均12个月，无不适症状，肾功能正常。结论后腹腔镜肾切除术治疗无功能肾结核安全、可靠、有效。
Abstract:
ObjectiveTo investigate the technical safety and clinical efficacy of retroperitoneoscopic nephrectomy for tuberculous nonfunctional kidneys.MethodsWe retrospectively analyzed 48 cases of retroperitoneoscopic nephrectomy for tuberculous nonfuctional kidneys during the period from June 2013 to June 2019. All the patients were diagnosed as tuberculous nonfunctional kidneys before operation, and the contralateral renal function was normal. In the operation, the diseased kidneys were dissected outside the renal capsule in 20 cases in the early period, while oustide the perirenal fat in 28 cases in the later period. The renal pedicle was carefully dissociated and the renal artery and vein were dissected and cut off. All the ureters were free and cut off near iliac vessels.ResultsAll the 48 operations were successfully performed, and none of cases experienced conversion to open surgery. Peritoneum injury was found in 5 cases, the renal capsule injury in 3 cases, and the cheeselike pus extravasation induced by the injury of the renal capsule in 2 cases. The operating time was 150-260 min (mean, 170 min). The blood loss volume was 50-300 ml (mean, 150 ml). The postoperative hospital stay was 8-14 days (mean, 9.5 days). Incision infection was found in 2 patients. All the patients were treated with antituberculosis drugs postoperatively and followed up for 9-18 months (mean, 12 months). No symptoms of discomfort were found, and the renal functions were normal.ConclusionRetroperitoneoscopic nephrectomy for tuberculous nonfunctional kidneys is a safe, reliable and effective procedure.

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备注/Memo

备注/Memo:
基金项目：河北省卫生健康委科研基金项目（20170412）**通讯作者，Email：lfz260@163.com ①肾内科
更新日期/Last Update: 2020-12-09