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目的:探讨后腹腔镜上半肾切除术治疗重复肾畸形的方法和疗效。方法:2006年1月~2011年4月采用后腹腔镜上半肾切除术治疗重复肾畸形患者6例。结果:6例患者手术均获得成功。手术时间为110~280min,平均(172.6±31.2)min;术中出血量80~460ml,平均(165.8±47.5)ml,其中1例术中输血200ml;术后住院时间5~8d,平均(7.6±2.1)d;术中、术后未发生严重并发症。术后随访2~54个月,平均(20.5±4.5)个月,B超、IVU和(或)磁共振尿路成像显示重复肾切除术后患者下半肾功能均正常。结论:后腹腔镜手术治疗重复肾畸形创伤小,并发症少,恢复快,近期疗效安全、可靠,是重复肾双输尿管畸形可供选择的一种微创治疗方法,具有临床推广价值。
Objective: To investigate the method and effect of retroperitoneal laparoscopic radical nephrectomy in the treatment of recurrent renal deformity. Methods: From January 2006 to April 2011, 6 cases of patients with recurrent nephrons were treated by retroperitoneal laparoscopic nephrectomy. Results: Six patients had successful operation. The mean operative time was 110 ~ 280min (mean 172.6 ± 31.2) min. The intraoperative blood loss was 80 ~ 460ml, with an average of (165.8 ± 47.5) ml, including 1 case of intraoperative blood transfusions of 200ml and postoperative hospital stay of 5 ~ ± 2.1) d; intraoperative and postoperative no serious complications. The patients were followed up for 2 to 54 months with an average of (20.5 ± 4.5) months. B-ultrasound, IVU and / or MR urography showed normal lower half renal function in patients after repeated nephrectomy. Conclusions: Retroperitoneoscopic laparoscopic surgery is a minimally invasive treatment for patients with recurrent renal deformity with few complications and rapid recovery. It is a safe and reliable curative effect in the near future.