文档介绍：1 后腹腔镜肾切除术 8 例的体会作者:杨林斌,蒋振华,俞增福,何屹,侯岩松,王华, 顾燕琴【摘要】目的: 探讨后腹腔镜肾切除术的临床应用价值。方法: 回顾分析 8 例后腹腔镜肾切除术的临床资料。结果:7 例手术成功, 成功率为 875% 。1 例肾脓肿引流后粘连明显改开放手术。手术时间 80~145min ,平均 91min ;术中出血 20~500ml ,平均 96ml; 术中、术后均未输血,无明显并发症。结论: 后腹腔镜肾切除术患者损伤小, 术后康复快, 有良好的临床应用前景。【关键词】肾切除术;腹腔镜;膜膜后 Retroperitoneal laparoscopic nephrectomy for 8 cases 【 Abstract 】O bjective:To study the clinical value of retroperitoneal laparoscopic : The clinical data of8 patients undergone retroperitoneal laparoscopic nephrectomy from June 2004 to Jaunary 2006 were 2 retrospectively :Retroperitoneal laparoscopic nephrectomy was performed essfully in7 patients(%),and one case with severe adherence after renal abscess drainage was converted to open mean operation time was 90min(80145min),and the average intraoperative bleeding was 96ml(20500ml).No plications were found :Retroperitoneal laparoscopic nephrectomy provides minimal morbidity and postoperative fort, which would be widely adopted in the future. 【 Key words 】 Nephrectomy;Laparoscopy;Retroperitoneum 肾切除术包括单纯肾切除术、根治性肾切除术、肾部分切除术。随着腹腔镜技术在泌尿外科的广泛应用和成熟, 肾切除已基本趋向行腹腔镜手术。 2004 年6 月至 2006 年1 月我院为 8 例患者施行后腹腔镜肾切除术, 效果良好, 现报道如下。 1 资料与方法 3 11 临床资料本组 8 例中男 6例,女2例, 23~74 岁, 平均 41岁。右肾透明细胞癌 1例, 肿瘤约 10cm × 5cm × 5cm , 左肾透明细胞癌 1 例,肿瘤约 2cm × 2cm × 2cm ,左肾上极黄色肉芽肿 1 例,肿瘤约 4cm × 2cm × 2cm ,右输尿管下段结石伴右肾巨大积水、肾无功能 1例,左 UPJ 结