Ono Y, Ohshima S, Hirabayashi S, Hatano Y, Sakakibara T, Kobayashi H, Ichikawa Y
Department of Urology, Komaki Shimin Hospital, Japan.
Int J Urol. 1995 Mar;2(1):12-6.
To evaluate the efficacy of the retroperitoneal approach in laparoscopic nephrectomy, our procedures involving laparoscopic nephrectomy using a retroperitoneal approach are described and the clinical results of six patients treated in this way are compared with those of 32 transabdominally nephrectomized patients. Of the six retroperitoneally nephrectomized patients, six kidneys were successfully removed without severe complication, and 28 kidneys were successfully removed in the 32 intraabdominally approached group. Three of the 28 patients had complications requiring open laparotomy. The operating time was 2.7 hours in the 6 retroperitoneal patients and 4.4 hours in the 28 transabdominal patients. Estimated blood loss was 92 ml in the retroperitoneal group and 450 ml in the transabdominal group. The mean postoperative hospital stay was 8 days and 9 days, respectively. These results indicate that the retroperitoneal approach might be preferable in laparoscopic nephrectomy.
为评估后腹腔途径在腹腔镜肾切除术中的疗效，我们描述了采用后腹腔途径进行腹腔镜肾切除术的操作过程，并将6例采用该方法治疗患者的临床结果与32例经腹腔途径肾切除患者的结果进行比较。在6例经后腹腔途径肾切除的患者中，6个肾脏均成功切除且无严重并发症，在32例经腹腔途径手术的患者中，28个肾脏成功切除。28例患者中有3例出现需要开腹手术的并发症。6例经后腹腔途径手术患者的手术时间为2.7小时，28例经腹腔途径手术患者的手术时间为4.4小时。后腹腔组估计失血量为92毫升，经腹腔组为450毫升。术后平均住院时间分别为8天和9天。这些结果表明，后腹腔途径在腹腔镜肾切除术中可能更具优势。
