Laparoscopic nephrectomy via the retroperitoneal approach.
Laparoscopic nephrectomy via the retroperitoneal approach.
复制标题
通过腹膜后入路进行腹腔镜肾切除术。
DOI：
--
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
S. Ohshima
中科院分区：
文献类型：
--
作者：
Y. Ono;N. Katoh;T. Kinukawa;O. Matsuura;S. Ohshima
目的
我们评估了腹膜后入路对良性疾病肾脏腹腔镜肾切除术的疗效。
材料和方法
肾脏严重受损的 8 名男性和 12 名女性（平均年龄 55 岁）接受了腹腔镜腹膜后肾切除术。 1例患者有多次开腹及妇科手术史。通过腹腔镜从工作空间中取出肾脏，该工作空间是通过手指和气球解剖产生的，并通过腹膜后腔中吹入二氧化碳来维持。
结果
通过此手术成功切除了所有肾脏。平均手术时间为 3.3 小时，平均估计失血量为 135 毫升。一名患者在摘除肾脏后，受伤的囊动脉出现出血。
结论
腹腔镜肾切除术推荐采用腹膜后入路。
PURPOSE
We evaluated efficacy of the retroperitoneal approach for laparoscopic nephrectomy of kidneys with benign disease.
MATERIALS AND METHODS
Eight men and 12 women (mean age 55 years) with severely damaged kidneys underwent laparoscopic retroperitoneal nephrectomy. One patient had a history of multiple open abdominal and gynecological operations. Kidneys were removed laparoscopically from the working space, which was created by finger and balloon dissection, and maintained by carbon dioxide insufflation in the retroperitoneal cavity.
RESULTS
All kidneys were removed successfully via this procedure. Mean operative time was 3.3 hours and mean estimated blood loss was 135 ml. One patient experienced bleeding from the injured capsular artery just after removal of the kidney.
CONCLUSIONS
The retroperitoneal approach is recommended for laparoscopic nephrectomy.