目的　探讨腹腔镜在肾肿瘤根治术中的应用。方法　 2 0 0 2年 3月～ 2 0 0 3年 7月对 7例肾肿瘤患者施行腹腔镜肾肿瘤根治术 ,均采用经腹腔入路。结果　除 1例中途改开放手术外 ,6例手术均获得成功。平均手术时间 2 4 0min(190～ 32 0min)。所有患者均无需输血 ,无明显手术并发症。平均术后活动时间 :4 8h(32～ 72h) ,平均术后住院时间 :7d(5～ 10 )d。结论　腹腔镜肾肿瘤根治术损伤小 ,恢复快 ,住院时间短 ,具有良好的临床应用前景。 Objective To investigate the application of laparoscopy in radical nephrectomy. Methods From March 2002 to July 2003, 7 patients with renal cancer underwent laparoscopic radical nephrectomy. All patients underwent transperitoneal approach. Results In addition to a case of midway change to open surgery, 6 cases of surgery were successful. The average operation time was 24Omin (190 ~ 32 0min). All patients did not need blood transfusion, no obvious complications. The average postoperative activity time: 48h (32 ~ 72h), the average postoperative hospital stay: 7d (5 ~ 10) d. Conclusions Laparoscopic radical nephrectomy is less injury, faster recovery and shorter hospital stay, and has good clinical application prospects.