目的 :探讨后腹腔镜在泌尿外科手术中的应用。方法 :对 39例泌尿外科患者施行后腹腔镜手术。其中肾囊肿去顶术 2 9例、肾上腺肿瘤切除术 7例、肾切除术 2例、肾盂造瘘术 1例。均经后腹腔途径。结果 :39例成功。手术时间 1.0～ 4.0h ,平均 2 .0h。术中及术后均未输血 ,无明显并发症。住院时间 5～ 10d ,平均 7.8d。结论 :后腹腔镜手术具有微创、术后恢复快、住院时间短等优势 ,在泌尿外科具有很好的应用前景 Objective: To investigate the application of retroperitoneal laparoscopy in urological surgery. Methods: Laparoscopic surgery was performed on 39 urologic patients. Among them, 29 cases of renal cyst debridement, 7 cases of adrenal tumor resection, 2 cases of nephrectomy and 1 case of pyelolithostomy. After the passage of the celiac. Results: 39 cases were successful. Surgery time 1.0 ~ 4.0h, an average of 2.0h. No intraoperative and postoperative blood transfusion, no significant complications. Hospitalization time 5 ~ 10d, an average of 7.8d. Conclusions: Retroperitoneal laparoscopic surgery has the advantages of minimally invasive, rapid recovery after surgery, short hospital stay and so on, and has good application prospect in urology