腹腔镜外科杂志2012，Vol.17Issue(7)：523-525,3.
后腹腔镜结核性无功能肾切除术的临床体会
Clinical experience of retroperitoneoscopic nephrectomy for nonfunctioning tubercnlous kidneys
陈从波 1姚启盛 1王晓康 1杨勇 1龚小新 1黄力 1王黎 1李昊1
作者信息
- 1. 湖北医药学院附属十堰市太和医院,湖北十堰,442000
- 折叠
摘要
Abstract
Objective:To explore the clinical efficacy of retroperitoneoscopic nephreetomy for nonfunctioning tuberculous kidneys. Methods: From Sep. 2008 to Sep. 2011 .retroperitoneoscopic nephreetomy was performed in 32 patients with tuberculous nonfunctioning kidneys. During operation,ultrasound knife was used to separate kidney and ureter,renal pedicle was blocked,and resected kidney was put in bag and removed. Clinical data of these patients were analyzed retrospectively. Antituberculosis therapy was carried out before and after surgery. Results: Retroperitoneoscopic nephreetomy was successfully performed in all patients without conversion to open surgery. The operation time ranged from 90 to 200 min with a mean of 130 min. Mean intraoperative blood loss was 60 ml (range, 30-140 ml). Postoperative hospital stay was 5 to9 d (mean,7.1 d). No significant complication was identified during and after operation. Conclusions; Retroperitoneoscopic nephreetomy for tuberculous nonfunctioning kidney is safe,effective and mini-invasive. Retroperitoneoscopic nephreetomy should be regarded as the choice of treatment for tuberculous nonfunctioning kidneys. Before operation, an-tituberculosis therapy should be positively carried out,operations should be scientific,reasonable and careful.关键词
肾疾病/肾切除术/腹腔镜检查/腹膜后路径/结核,肾Key words
Kidney diseases/ Nephreetomy/ l-aparoscopy/ Retroperitoneal approach/ Tuberculosis, renal分类
医药卫生引用本文复制引用
陈从波,姚启盛,王晓康,杨勇,龚小新,黄力,王黎,李昊..后腹腔镜结核性无功能肾切除术的临床体会[J].腹腔镜外科杂志,2012,17(7):523-525,3.
