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微创泌尿外科杂志  2014, Vol. 3 Issue (2): 93-95    
  论著 本期目录 | 过刊浏览 | 高级检索 |
后腹腔镜结核性无功能肾切除22例临床分析
蔡恒1,郭建军1,梁荣兴1,袁鹏飞1
1武警四川省总队医院泌尿外科 614000 四川乐山
Retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidneys: a clinical analysis of 22 cases
Cai Heng1,Guo Jianjun1,Liang Rongxing1,Yuan Pengfei1
1Department of Urology, Sichuan Provincial Corps Hospital of Armed Police, Leshan 614000, China
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摘要 目的:探讨应用后腹腔镜在结核性无功能性肾切除的临床价值。方法:回顾分析2008年9月~2013年3月对22例结核性无功能肾患者行后腹腔镜肾切除术的临床资料。结果:22例手术均顺利完成,无中转开放手术。手术时间70~140 min,平均90 min。术中失血量40~350 ml,平均100 ml。术后住院4~8 d,平均6 d。术中4例肾包膜撕裂少许干酪样脓液外渗,6例腹膜损伤。所有患者切口均一期愈合。术中术后无明显并发症。术后随访6~36个月,平均12个月,对侧肾功能正常。结论:后腹腔镜结核肾切除术是一种安全、有效的微创治疗方法,因其创伤小、出血少、恢复快,值得进一步临床推广。
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蔡恒
郭建军
梁荣兴
袁鹏飞
关键词 腹膜后径路后腹腔镜肾结核肾切除术    
AbstractObjective:To investigate the application of retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidneys. Methods:The clinical data of 22 cases of tuberculous nonfunctioning kidneys treated by retroperitoneal laparoscopic nephrectomy in our hospital from September 2008 to March 2003 were retrospectively analyzed. Results:All procedures were successfully performed without conversion to open operation. Operation time 70-140 min, Averagely 90 min. The estimated intraoperative blood loss was 40-350 mL, average 100 mL. Postoperative hospital stay was 4-8 d, the average 6 d. Adverse events including 4 cases of renal capsular tear a little cheesy pus leakage and 6 cases of rupture. All the incision healed. With no obvious complication. The patients were followed up for 6-36 months, average 12 months, contralateral normal renal function. Conclusions:etroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidneys is a safe, effective and minimally invasive treatment, with less trauma, less bleeding, quick recovery.It deserves further clinical promotion.
Key wordsretroperitoneal approach    retroperitoneal laparoscopy    kidney tuberculosis    nephrectomy
收稿日期: 2014-03-02     
ZTFLH:  R692  
通讯作者: 蔡恒,wcumsch@126.com   
引用本文:   
蔡恒,郭建军,梁荣兴,袁鹏飞. 后腹腔镜结核性无功能肾切除22例临床分析[J]. 微创泌尿外科杂志, 2014, 3(2): 93-95.
Cai Heng,Guo Jianjun,Liang Rongxing,Yuan Pengfei. Retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidneys: a clinical analysis of 22 cases. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(2): 93-95.
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