摘要
目的探讨后腹腔镜切除结核性无功能肾的可行性及安全性。方法 2009年1月～2010年11月对17例(男7例,女10例)无功能结核肾行后腹腔镜下患肾切除术。其中,右侧6例,左侧11例。手术指征为单侧结核性无功能肾脏。采用3孔法(2个12mm、1个5mmTrocar)。术后标本置入肾袋后,患侧下腹部斜行小切口取出患肾。结果 17例均成功完成肾切除,无1例中转开放手术,手术时间75～210min,平均(105.8±27.4)min。术中失血量40～220mL,平均(100.5±22.6)mL。术中腹膜损伤3例。其中15例获随访5～35个月,平均12个月,无并发症发生。结论后腹腔镜结核性无功能肾切除创伤小、恢复快,对于结核性无功能肾是一种安全、有效的手术方法。
[Objective] The aims of this study were to evaluate the efficacy and safety of retroperitoneoscopic nephrectomies in the treatment of tuberculous nonfunctioning kidneys.[Methods] Between January 2009 and November 2010,seventeen patients（7 men and 10 women）,with a mean age of（48.7±11.3） years（range 26 to 69） underwent retroperitoneoscopic nephrectomy for a unilateral nonfunctioning kidney secondary to renal tuberculosis.Disease was in the right side in 6 patients and in the left side in 11.Indications for operation were tuberculous nonfunctioning kidneys.Seventeen（retroperitoneal） procedures were performed using 3 ports（two 12mm and one 5 mm trocar ports）.The kidneys were in a bag and removed through an oblique incision made at the lower abdomen.[Results] Retroperitoneoscopic nephrectomy was successful in 17 cases and did not require conversion to open surgery or perioperative transfusion in any case.The operation time ranged from 75 to 210 minutes with a mean of（105.8±27.4） minutes.The average volume of the estimated blood loss was（100.5±22.6） mL（range 40～220 mL）.During the operation,three patients had injuries on the peritoneum.A mean of 12-month follow-up（ranged from 5 to 35 months） was achieved in the 15 patients.No significant intraoperative or postoperative complications were observed.[Conclusion] The results of this study indicate that retroperitoneoscopic nephrectomy for renal tuberculosis is a safe,effective,and less invasive treatment modality.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第8期841-844,共4页
China Journal of Endoscopy
关键词
后腹腔镜肾切除
肾结核
retroperitoneoscopic nephrectomy
renal tuberculosis
