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腹腔镜切除儿童发育不良肾21例总结

严向明,周云   

  1. 苏州大学附属儿童医院
  • 收稿日期:2013-05-27 修回日期:2013-08-30 出版日期:2014-01-15 发布日期:2014-01-15
  • 通讯作者: 严向明

Laparoscopic nephrectomy for dysplastic kidneys in 21 children

2   

  • Received:2013-05-27 Revised:2013-08-30 Published:2014-01-15 Online:2014-01-15

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摘要： 目的 总结腹腔镜切除发育不良肾的临床经验。方法 回顾分析2001年1月至2010年6月使用腹腔镜切除21例发育不良肾患儿的临床资料。结果 14例采用经腹腔途径，7例采用后腹腔途径，2例中转开放手术，均将发育不全肾切除。 19例腹腔镜手术平均时间62 min（48~162min），术中术后无并发症发生，术后住院时间3~10d，平均5.5d，随访随访0.5~10 y，患儿恢复良好。结论 腹腔镜治疗发育不良肾安全有效。

关键词: 肾发育不全, 腹腔镜, 儿童

Abstract: Objective To review the clinical experience of laparoscopic nephrectomy for dysplastic kidneys.Methods The clinical data of 21cases of Laparoscopic nephrectomy for dysplastic kidneys from Jan．2001 to Jun．2011 were retrospectively reviewed.Results The operations of 14 cases were successfully performed with laparoscopy,and 7cases with retroperitoneal laparoscopy.The remaining 2cases converted to open suegery.There were no intraoperative or postoperative complications;The operation time ranged from 48to 162minutes(mean 62min); The postoperative hospital stay ranged from 3 to 10days(mean 5.5days). The follow-up from 6months to10 years showed the children recovered uneventfully.Conclusions laparoscopic nephreetomy for dysplastic kidneys is safe and effective method.

Key words: Dysplastic kidneys, Laparoseopy, Child