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目的:探讨后腹腔镜单纯性肾切除术治疗重度积水无功能肾的手术方法和临床疗效。方法:我院2011年1月-2015年10月收治重度积水无功能肾患者31例,施行后腹腔镜单纯性肾切除术,观察手术时间、术中出血量、手术效果及术后住院天数。结果:31例手术均获得成功,2例中转开放手术,手术时间为40-210min,平均为90 min,术中出血20-300 ml,平均50 ml,无大出血感染腹膜破裂腹腔脏器损伤等并发症,术后住院天数5-10天。结论:后腹腔镜单纯性肾切除术治疗重度积水无功能肾临床疗效可、创伤小、并发症少、恢复快,值得推荐。
Objective: To investigate the surgical method and clinical efficacy of retroperitoneal simple nephrectomy in the treatment of severe hydronephrosis without functional kidney. Methods: From January 2011 to October 2015, 31 patients with severe hydronephrosis without renal function were treated in our hospital from January 2011 to October 2015. After laparoscopic simple nephrectomy, the operation time, blood loss, operative effect and postoperative hospital stay . Results: All of the 31 cases were successfully operated and 2 cases were switched to open surgery. The operation time was 40-210 minutes with an average of 90 minutes. The intraoperative blood loss was 20-300 ml with an average of 50 ml. No bleeding was found in peritoneal ruptured abdominal viscera. Disease, postoperative hospitalization days 5-10 days. Conclusions: Retroperitoneal laparoscopic nephrectomy in the treatment of severe hydronephrosis without functional clinical efficacy of renal, trauma, fewer complications, rapid recovery, it is recommended.