Kerbl K, Clayman R V, Mc Dougall E, Kavoussi L R
Department of Surgery (Division of Urology), Washington University School of Medicine, St. Louis, Missouri 63110.
Arch Esp Urol. 1993 Sep;46(7):581-4.
In this manuscript we describe our initial experience with 22 patients who underwent laparoscopic nephrectomy at our institution. Of the 22 patients, 16 patients had benign disease, and 6 patients had malignant disease. Of the 6 patients with malignancy, 3 patients underwent laparoscopic nephroureterectomy for transitional cell cancer of the upper urinary tract. In 21 patients, a transabdominal approach was utilized, whereas 1 patient underwent laparoscopic nephrectomy using an entirely retroperitoneal approach. Laparoscopic nephrectomy showed lengthy operative times, but resulted in reduced postoperative discomfort, shortened hospital stay, and rapid convalescence. As laparoscopic nephrectomy has been performed with reproducible success by various other groups worldwide, further refinements in surgical technique, paired with advances in laparoscopic instruments designed for stapling and suturing, will most likely result in an increasing application of the principles of laparoscopy to diseases of the kidney, renal pelvis and ureter.
在本手稿中，我们描述了在我们机构对22例接受腹腔镜肾切除术患者的初步经验。在这22例患者中，16例患有良性疾病，6例患有恶性疾病。在6例恶性肿瘤患者中，3例因上尿路移行细胞癌接受了腹腔镜肾输尿管切除术。21例患者采用经腹途径，而1例患者采用完全腹膜后途径进行腹腔镜肾切除术。腹腔镜肾切除术显示手术时间较长，但术后不适减轻、住院时间缩短且恢复迅速。由于世界各地的其他各种团队进行腹腔镜肾切除术均取得了可重复的成功，手术技术的进一步完善，再加上为吻合和缝合设计的腹腔镜器械的进步，很可能会使腹腔镜技术在肾脏、肾盂和输尿管疾病中的应用越来越多。
