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目的 :探讨腹腔镜在肾切除手术中的临床应用。方法 :采用腹腔镜技术分别经腹腔或腹膜后途径行单纯肾切除、根治性肾切除或肾输尿管全切术。结果 :除首例中途改行开放手术外 ,其余1 6例手术获得成功。肾切除手术时间为 90～ 1 80 min,平均 1 1 7min,术中及术后均未输血 ,所有病例无明显并发症。结论 :腹腔镜肾切除术具有损伤小、术后恢复快和住院时间短等优点 ,有良好的临床应用前景。
Objective: To explore the clinical application of laparoscopy in nephrectomy. Methods :Using laparoscopic techniques for abdominal nephrectomy, radical nephrectomy or total renal ureteral resection respectively via abdominal or retroperitoneal approach. Results: In addition to the first case of an open surgery, the remaining 16 cases were successfully performed. The duration of nephrectomy was 90 to 180 minutes, with an average of 117 minutes. No blood transfusion was performed during and after surgery. No complications occurred in all cases. Conclusion: Laparoscopic nephrectomy has advantages of less injury, faster postoperative recovery and shorter hospital stay, and has good clinical application prospects.