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目的:探讨后腹腔镜下行上位半肾切除术治疗重复肾无功能上位肾的技术方法和经验。方法:18例重复肾上位肾无功能的患者,男6例,女12例;右侧8例,左侧10例;年龄6～45岁,平均19岁。均行后腹腔镜上位半肾切除术。观察手术时间、术中出血量、术中术后并发症,随诊下位肾的功能及手术效果。结果:18例手术均获成功,无中转开放者。手术时间10～150 min,平均120 min;术中出血20～50 ml,平均35 ml;术后住院时间6～8天,平均7天。术中术后无明显并发症。随访6个月,效果满意。结论:经后腹腔镜上位半肾切除术治疗重复无功能上位肾安全有效、创伤小、出血少、恢复快、并发症少,可以逐渐替代传统开放手术。
Objective: To explore the technique and experience of retroperitoneoscopic laparoscopic radical nephrectomy in the treatment of repetitive renal dysfunction. Methods: There were 18 males and 6 females with 18 cases of non-functional renal upper kidney. There were 8 cases on the right and 10 cases on the left. They were 6 to 45 years old with an average of 19 years. All patients underwent retroperitoneoscopic nephrectomy. Observation of operation time, intraoperative blood loss, intraoperative and postoperative complications, follow-up renal function and surgical results. Results: All the 18 surgeries were successful. The operation time was 10 to 150 minutes with an average of 120 minutes. The intraoperative blood loss was 20 to 50 ml, with an average of 35 ml. The postoperative hospital stay was 6 to 8 days with an average of 7 days. No obvious postoperative complications. Follow-up 6 months, the effect is satisfactory. Conclusion: Retroperitoneal laparoscopic hemispheric nephrectomy is safe and effective in treating nonfunctioning upper kidney. It has less trauma, less bleeding, faster recovery and fewer complications. It can gradually replace the traditional open surgery.