经皮肾镜碎石取石术治疗小儿肾结石（附 16 例报告）
The feasibility of laparoendoscopic single-site nephrectomy: initial experience using home-made single-port device.
机构信息
Department of Urology, Yonsei University College of Medicine, Urological Science Institute, Seoul, Korea.
出版信息
Urology. 2010 Oct;76(4):862-5. doi: 10.1016/j.urology.2009.10.038. Epub 2010 Jan 27.
OBJECTIVES
To report our early experience with laparoendoscopic single-site (LESS) nephrectomy using home-made single-port device for benign nonfunctioning kidney.
METHODS
A total of 14 patients with benign nonfunctioning kidney underwent transperitoneal LESS nephrectomy by 2 experienced laparoscopic surgeons. The indications for nephrectomy were nonfunctioning kidney associated with ectopic kidney (n = 2), ureteropelvic junction obstruction (n = 5), genitourinary tuberculosis (n = 4), ureter stone (n = 2), and ureter stricture (n = 1).
RESULTS
All procedures were completed successfully. The mean operative time was 151 (85-230) minutes, estimated blood loss 108 (negligible-500) mL, and postoperative hospital stay 3.1 (2-6) days. There were no major complications.
CONCLUSIONS
LESS nephrectomy is a feasible and safe surgical option for benign nonfunctioning kidney.
目的
报告我们使用自制单孔装置行腹腔镜下单部位（LESS）肾切除术治疗良性无功能肾的早期经验。
方法
由 2 名经验丰富的腹腔镜外科医生对 14 例良性无功能肾患者行经腹腔途径 LESS 肾切除术。肾切除术的适应证为异位肾伴无功能肾（n=2）、肾盂输尿管连接部梗阻（n=5）、泌尿生殖系结核（n=4）、输尿管结石（n=2）和输尿管狭窄（n=1）。
结果
所有手术均顺利完成。平均手术时间为 151（85-230）分钟，估计出血量为 108（可忽略-500）mL，术后住院时间为 3.1（2-6）天。无重大并发症发生。
结论
LESS 肾切除术是治疗良性无功能肾的一种可行且安全的手术选择。
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