CAJ | 학술논문

目的：探讨应用后腹腔镜在结核性无功能性肾切除的临床价值。方法：回顾分析2008年9月~2013年3月对22例结核性无功能肾患者行后腹腔镜肾切除术的临床资料。结果：22例手术均顺利完成,无中转开放手术。手术时间70~140 mi n ,平均90 mi n 。术中失血量40~350 ml ,平均100 ml 。术后住院4~8 d ,平均6 d 。术中4例肾包膜撕裂少许干酪样脓液外渗,6例腹膜损伤。所有患者切口均一期愈合。术中术后无明显并发症。术后随访6~36个月,平均12个月,对侧肾功能正常。结论：后腹腔镜结核肾切除术是一种安全、有效的微创治疗方法,因其创伤小、出血少、恢复快,值得进一步临床推广。
목적：탐토응용후복강경재결핵성무공능성신절제적림상개치。방법：회고분석2008년9월~2013년3월대22례결핵성무공능신환자행후복강경신절제술적림상자료。결과：22례수술균순리완성,무중전개방수술。수술시간70~140 mi n ,평균90 mi n 。술중실혈량40~350 ml ,평균100 ml 。술후주원4~8 d ,평균6 d 。술중4례신포막시렬소허간락양농액외삼,6례복막손상。소유환자절구균일기유합。술중술후무명현병발증。술후수방6~36개월,평균12개월,대측신공능정상。결론：후복강경결핵신절제술시일충안전、유효적미창치료방법,인기창상소、출혈소、회복쾌,치득진일보림상추엄。
To investigate the application of retroperitoneal laparoscopic nephrecto my for tubercul ous nonfunctioning ki dneys .Methods :The clinical data of 22 cases of tubercul ous nonfunctioning kidneys treated by retro-peritoneal laparoscopic nephrecto my in our hospital from September 2008 to March 2003 were retrospectively ana-lyzed .Results :All procedures were successfully perfor med without conversi on to open operation .Operati on time 70-140 min ,Averagely 90 min .The estimated i ntraoperative blood loss was 40-350 mL ,average 100 mL .Postoperative hospital stay was 4-8d ,the average 6d .Adverse events i ncl uding 4 cases of renal capsular tear a little cheesy pus leakage and 6 cases of rupture .All the incisi on healed .With no obvi ous complication .The patients were followed up for 6-36 months ,average 12 months ,contralateral normal renal function .Conclusions :etroperitoneal laparoscopic ne-phrecto my for tubercul ous nonfunctioning kidneys is a safe ,effective and mini mally invasive treatment ,with less trau ma ,less bleeding ,quick recovery .It deserves further clinical promotion .