后腹腔镜下肾切除15例报告
作者单位：423000 湖南省郴州市第三人民医院
通讯作者：李金芳
【摘要】 目的 探讨后腹腔镜下肾切除术的治疗效果。方法 对15例无功能肾患者(积水无功能肾11例，结核肾4例)，采用腹腔镜经腹膜后途径行肾切除术。结果 除1例脓肾因与肠道粘连紧密中转开放外，其余病例顺利完成手术。手术时间65～170 min，术中出血50～200 ml，无一例输血。术后24～48 h肠功能恢复，平均住院时间(6±0.5) d。结论 后腹腔镜下无功能肾切除术可取代大部分无功能肾开放切除术。
【关键词】 后腹腔镜； 肾切除术
15 cases report of retroperitoneal laparoscopic nephrectomy LI Jin-fang,WEN Jian-jun.The 3rd People′s Hospital of Chenzhou City,Chenzhou 423000,China
【Abstract】 Objective To explore the treatment effet of retroperitoneal laparoscopic nephrectomy.Methods 15 cases which included 11 cases of nonfunctioning kidney,4 cases of tuberculosis pyonephrosis,were performed retroperitoneal laparoscopic nephrectomy.Results Except for one pyonephrosis with dense perinephric adhesion turning to open,the rest operations were successful.Time for nephrectomy was 65 to 170 min,and the blood loss was 50 to 200 ml.No case received blood transfusion,and postoperative intestinal function recovery time were 1～2 days,and average hospital time were 6～8 days after operation..Conclusions The retroperitoneal laparoscopic nephrectomy should mostly substitute for open reduction in primary hospital. ......
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通讯作者：李金芳
【摘要】 目的 探讨后腹腔镜下肾切除术的治疗效果。方法 对15例无功能肾患者(积水无功能肾11例，结核肾4例)，采用腹腔镜经腹膜后途径行肾切除术。结果 除1例脓肾因与肠道粘连紧密中转开放外，其余病例顺利完成手术。手术时间65～170 min，术中出血50～200 ml，无一例输血。术后24～48 h肠功能恢复，平均住院时间(6±0.5) d。结论 后腹腔镜下无功能肾切除术可取代大部分无功能肾开放切除术。
【关键词】 后腹腔镜； 肾切除术
15 cases report of retroperitoneal laparoscopic nephrectomy LI Jin-fang,WEN Jian-jun.The 3rd People′s Hospital of Chenzhou City,Chenzhou 423000,China
【Abstract】 Objective To explore the treatment effet of retroperitoneal laparoscopic nephrectomy.Methods 15 cases which included 11 cases of nonfunctioning kidney,4 cases of tuberculosis pyonephrosis,were performed retroperitoneal laparoscopic nephrectomy.Results Except for one pyonephrosis with dense perinephric adhesion turning to open,the rest operations were successful.Time for nephrectomy was 65 to 170 min,and the blood loss was 50 to 200 ml.No case received blood transfusion,and postoperative intestinal function recovery time were 1～2 days,and average hospital time were 6～8 days after operation..Conclusions The retroperitoneal laparoscopic nephrectomy should mostly substitute for open reduction in primary hospital. ......
您现在查看是摘要页，全文长 5358 字符。