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目的:探讨腹腔镜下重复肾病肾切除术的手术技巧及其疗效。方法:对19例重复肾患者进行了后腹腔镜下重复肾病肾和输尿管切除术。19例均为上位重复肾伴完全型重复输尿管畸形,其中左侧8例,右侧11例。结果:19例患者手术均顺利在后腹腔镜下完成,术中、术后均未出现明显并发症。手术时间平均110(80~180)min,出血量平均80(50~200)ml,术后住院时间平均6.6(5~9)d。术后随访3~48个月,下位健肾功能良好。结论:后腹腔镜下重复肾病肾和输尿管切除术具有创伤小、术后恢复快等优点,可作为治疗重复肾、输尿管畸形的可靠方法之一。但操作难度较大,对于初学者来说应慎重。
Objective: To investigate the surgical technique and efficacy of laparoscopic nephrectomy. Methods: Retroperitoneal laparoscopic nephrectomy and ureter were performed in 19 patients with recurrent renal disease. All the 19 cases were all with recurrent renal complete recurrent ureteral malformations, including 8 on the left and 11 on the right. Results: All the 19 patients underwent laparoscopic surgery successfully. No obvious intraoperative or postoperative complications occurred. The mean operative time was 110 (80-180) min and the average amount of bleeding was 80 (50-200) ml. The mean postoperative hospital stay was 6.6 (5-9) days. Follow-up 3 to 48 months after surgery, the lower kidney function well. Conclusions: Retroperitoneal laparoscopic nephrotic and ureteric resection has the advantages of less trauma and faster recovery, which can be used as a reliable method for the treatment of repeated renal and ureter malformations. However, the operation is more difficult, for beginners should be cautious.