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目的探讨后腹腔镜手术治疗泌尿系疾病的临床效果及方法。方法采用后腹腔镜手术治疗泌尿系疾病112例,其中肾囊肿去顶术66例,肾上腺手术15例(原发性醛固酮增多症3例,嗜铬细胞瘤4例,皮质醇腺瘤1例,神经纤维瘤1例,无功能皮质腺瘤2例,皮质增生1例,肾上腺囊肿2例,髓性脂肪瘤1例),乳糜尿肾蒂淋巴管结扎术6例,单纯性肾切除术4例,肾癌根治性肾切除术5例,肾盂输尿管癌肾输尿管全切术5例,肾盂输尿管成型术3例,输尿管切开取石术8例。结果111例获得成功,中转开放手术1例,无严重并发症发生,疗效满意。结论后腹腔镜手术具有创伤小、出血少、疼痛轻、恢复快、并发症少等优点,临床疗效可靠,实用性较强。
Objective To investigate the clinical effects and methods of retroperitoneal laparoscopic surgery for urinary diseases. Methods One hundred and twelve cases of urologic diseases were treated with retroperitoneal laparoscopic surgery, of which 66 cases of renal cyst debridement and 15 cases of adrenal surgery (primary aldosteronism in 3 cases, pheochromocytoma in 4 cases, cortisol adenoma in 1 case, 1 case of neurofibroma, 2 cases of non-functioning cortical adenoma, 1 case of cortical hyperplasia, 2 cases of adrenal cyst and 1 case of myelolipoma), 6 cases of chyluria and renal lymphatic ligation, 4 cases of simple nephrectomy , Radical nephrectomy in 5 cases, renal pelvis and ureter in 5 cases, ureteropexy in 3 cases, ureterolithotomy in 8 cases. Results 111 cases were successful, open surgery in 1 case, no serious complications, with satisfactory results. Conclusions Retroperitoneal laparoscopic surgery has the advantages of less trauma, less bleeding, less pain, quicker recovery and fewer complications. The clinical effect is reliable and practical.