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目的探讨后腹腔镜下肾切除术的治疗效果。方法对15例无功能肾患者(积水无功能肾11例,结核肾4例),采用腹腔镜经腹膜后途径行肾切除术。结果除1例脓肾因与肠道粘连紧密中转开放外,其余病例顺利完成手术。手术时间65～170 min,术中出血50～200 ml,无一例输血。术后24～48 h肠功能恢复,平均住院时间(6±0.5)d。结论后腹腔镜下无功能肾切除术可取代大部分无功能肾开放切除术。
Objective To investigate the therapeutic effect of retroperitoneoscopic nephrectomy. Methods Fifteen cases of non-functional kidney disease (hydronephrosis in 11 cases, tuberculosis in 4 cases) were treated by laparoscopy and retrograde nephrectomy. Results In addition to a case of pus kidney and intestine due to adhesion and transit closely open, the rest of the cases successfully completed the operation. Surgery time 65 ~ 170 min, intraoperative bleeding 50 ~ 200 ml, no case of transfusion. Intestinal function recovered 24-48 h after operation, and the average length of stay (6 ± 0.5) d. Conclusions Retroperitoneal laparoscopic nephrectomy can replace most nonfunctional nephrectomy.