【摘要】 目的探讨腹腔镜肾切除的临床应用价值。方法对本院2011年3月～2012年2月行腹腔镜肾切除术10例患者的临床资料进行回顾性分析。结果 9例手术成功,1例肾脓肿引流后粘连明显改行传统开放手术。手术时间90～145min,平均100min;术中出血30～300ml,平均95ml;术中、术后均未输血,均无明显并发症。住院时间为8～15d,平均10d。肾癌1例随访2年,无复发。其余病例随访3～12个月,其中2例有伤口痛、麻木感,半年后上述症状消失。1例肾结核患者经抗结核治疗后无复发。结论腹腔镜下肾切除术具有创伤小、失血少、并发症少、术后恢复快的优点,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the clinical efficacy of laparoscopic nephrectomy. Methods The clinical data of 10 cases with laparoscopic nephrectomy in our hospital from March 2011 to February 2012 were retrospectively analyzed. Results The surgery of 9 cases were successful, 1 case with adhesion after renal abscess drainage was diverted to traditional open surgery. The operative time was 90-145min, average of 100 min; the blood loss was 30-300 ml, average of 95 ml; there was no blood transfusion in and after surgery, no significant complications. The hospital stay was 4-9 days, average of 6.5 days. 1 case of kidney cancer patient was followed up for two years without recurrence. The remaining patients were followed up for 3-12 months, including 2 cases of wound pain, numbness, the symptoms disappeared after six months. 1 cases of renal tuberculosis patients had no recurrence after anti-TB treatment. Conclusion Laparoscopic nephrectomy has many advantages such as less blood loss, fewer complications, faster postoperative recovery, and it is worthy of clinical application.更多还原