摘要
目的探讨后腹腔镜积水无功能肾切除术的手术方法和效果。方法对17例积水无功能肾患者行后腹腔镜积水无功能肾切除术。腰部3个Trocar穿刺入路,手指法建立后腹膜气腹,游离出部分病变肾脏后先将肾脏切开一小口,吸净积水肾内的积水,然后再游离肾脏,用钛夹或Hem-o-lok夹闭肾蒂血管后切断,切除患肾,留置腹膜后引流管。统计手术时间、术中出血量和术中、术后并发症及观察手术效果。结果 17例手术均获得成功,手术时间为150～300min,平均为170min。术中出血10～80ml,平均30ml。引流管于术后2～3d拔除,无大出血、感染、腹膜破裂、腹腔脏器损伤等并发症。结论后腹腔镜积水无功能肾切除术是一种微创、安全、有效、恢复快的术式。
Objective To explore the operation methods and results of retroperitoneoscopic nephrectomy for the treatment of nonfunctioning kidney with hydronephrosis. Methods Retroperitoneoscopic nephrectomy was performed in 17 cases with nonfunctioning kidney with hydronephrosis. The retroperitoneal cavity were established with the fingers separating method. Afterwards, 3 troears were inserted through lumbar region, the kidney was dissociated partially, and made a small hole, the intrarenal fluid was drawn out. Then the kidney was dissociated fully, the renal pedicle was exposed, and blocked with titanium clips or hem-o-lok and then cut off, the non：functioning kidney was taken out in a specimen bag, and the retropertoneal drainage catheter was placed. The operation time, blood loss, complications during and after operation and the opetative efficacy were observed. Results All the operations were successful completed. The mean operative time was 170 min （ 150-300 ）, and blood loss was 30 ml （10-80）. Drainage catheter was removed 2-3 days after operation. There were no massive hemorrhage, infection, peritoneum rupture, intraabdominal visceral injury, and other severe complications. Conclusions Retroperitoneoscopic nephrectomy for nonfunctioning kidney with hydronephrosis was proved to be minimal invasive, safe, effective, and rapid recovery.
出处
《中华腔镜泌尿外科杂志（电子版）》
2011年第5期17-19,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
后腹腔镜
积水无功能肾
肾切除术
Retroperitoneoscopic
Nonfunctioning kidney with hydronephrosis
Nephrectomy
