Goel Rajiv, Modi Pranjal, Dodia Sharad
Department of Urology, Institute of Kidney Diseases and Research Centre, Ahmedabad, India.
Int J Urol. 2006 Apr;13(4):337-9. doi: 10.1111/j.1442-2042.2006.01311.x.
Laparoscopic nephrectomy has become a standardized procedure for removal of benign non-functioning kidneys. We present our experience of retroperitoneoscopic pre-transplant native kidneys nephrectomy.
Comparison of 40 patients who underwent retroperitoneoscopy with 40 open simple pre-transplant nephrectomy patients was done.
Forty retroperitoneoscopic nephrectomies were done between June 2003 and April 2005. The mean operative time was similar in the two groups; however, the mean blood loss, postoperative analgesic requirement, complication rate, hospital stay and convalescence period were significantly less in the retroperitoneoscopic group.
Retroperitoneoscopic nephrectomy should be offered as the primary treatment modality to patients requiring pre-transplant native kidney nephrectomy, except in patients where it is contraindicated.
腹腔镜肾切除术已成为切除良性无功能肾脏的标准化手术。我们展示了我们进行后腹腔镜移植前自体肾切除术的经验。
对40例行后腹腔镜手术的患者与40例行开放单纯移植前肾切除术的患者进行了比较。
2003年6月至2005年4月间共进行了40例后腹腔镜肾切除术。两组的平均手术时间相似；然而，后腹腔镜组的平均失血量、术后镇痛需求、并发症发生率、住院时间和恢复期明显更少。
对于需要进行移植前自体肾切除术的患者，应将后腹腔镜肾切除术作为主要治疗方式，但有禁忌证的患者除外。
