Abstract:Objective: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.
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