论文部分内容阅读
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 To investigate the feasibility and safety of retroperitoneoscopic resection of tuberculous non-functional kidney. Methods From January 2009 to November 2010, 17 cases (7 males and 10 females) of non-functional tuberculosis underwent laparoscopic nephrectomy. Among them, the right 6 cases, left 11 cases. Surgical indications for unilateral tuberculous non-functional kidney. Using 3-hole method (2 12mm, 1 5mmTrocar). Postoperative specimens into the kidney bag, the affected side of the abdomen oblique small incision out of the affected kidney. Results All of the 17 cases were successfully performed nephrectomy. There was no open surgery in 1 case. The operation time was 75-210 minutes (mean, 105.8 ± 27.4) min. Intraoperative blood loss 40 ~ 220mL, with an average (100.5 ± 22.6) mL. Intraoperative peritoneal injury in 3 cases. Among them, 15 cases were followed up for 5 to 35 months with an average of 12 months without any complication. Conclusions Postoperative laparoscopic tuberculous nonfunctional nephrectomy is small and quick to recover. It is a safe and effective surgical method for tuberculous nonfunctional kidney.