Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
Int Urol Nephrol. 2012 Feb;44(1):81-9. doi: 10.1007/s11255-010-9882-9. Epub 2010 Dec 17.
The retroperitoneal laparoscopic approach to the kidney offers a minimally invasive access that mimics the open surgical techniques of renal surgery. It allows renal surgery without violation of the peritoneal cavity with its attendant complications such as bowel injury and ileus. Over the last two decades, all renal surgery has been shown to be feasible through this technique. This includes complicated procedures such as a donor nephrectomy and radical nephroureterectomy for upper tract transitional cell cancers. We began performing retroperitoneoscopic renal surgery in the early 1990s and have developed a number of modifications to existing techniques so as to make this surgery easy and cost effective. In this review, we discuss the evolution of retroperitoneoscopic renal surgery, the indications, techniques and outcome of all types of retroperitoneoscopic renal surgery.
经腹膜后腹腔镜技术为肾脏手术提供了一种微创入路，模拟了开放手术的技术。它可以在不侵犯腹腔及其伴随的并发症（如肠损伤和肠梗阻）的情况下进行肾脏手术。在过去的二十年中，已经证明所有的肾脏手术都可以通过这种技术来完成。这包括复杂的手术，如供肾切除术和根治性肾输尿管切除术治疗上尿路移行细胞癌。我们在 20 世纪 90 年代早期开始进行经腹膜后腹腔镜肾脏手术，并对现有的技术进行了一些改进，以使手术变得简单和具有成本效益。在这篇综述中，我们讨论了经腹膜后腹腔镜肾脏手术的发展、各种经腹膜后腹腔镜肾脏手术的适应证、技术和结果。
