Clinical efficacy evaluation of retroperitoneal and transperitoneal laparoscopic nephrectomy for nonfunctional kidney with giant hydronephrosis
10.3760/cma.j.issn.1673-4904.2010.26.007
- VernacularTitle:后腹腔途径与经腹途径腹腔镜下切除巨大囊状无功能肾的临床比较
- Author:
Songdong KANG
;
Zijian ZENG
;
Guangqing SONG
;
Ruzhu LAN
;
Wei GUAN
;
Fei LIU
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Nephrectomy;
Nonfunctional kidney with giant hydronephrosis
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(26):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the technical feasibility and clinical efficacy of retroperitoneal and transperitoneal laparoscopic nephrectomy for nonfunctional kidney with giant hydronephrosis. Methods The clinical data of retroperitoneal group (26 patients) and transperitoneal group (23 patients) who underwent laparoscopic nephrectomy for nonfunctional kidney with giant hydronephrosis were analyzed retrospectively. Compared with operating time,kidney size, blood loss, postoperative intestinal function recovery time, postoperative hospital stay and operative efficacy of the two groups. Results All the operations were performed successfully. Operating time,kidney size and blood loss were not significantly different between two groups(P＞ 0.05). While in retroperitoneal group, postoperative intestinal function recovery time and postoperative hospital stay were significantly reduced than those in transperitoneal group [( 18.0 ± 1.2)h vs. (48.0 ±2.0) h, (5.5± 1.6) d vs. (7.5 ± 1.6) d](P＜0.05). All patients were followed up 1 -3months,no abnormal. Conclusions The retroperitoneal and transperitoneal laparoscopic nephrectomy for nonfunctional kidney with giant hydronephrosis can be performed efficiently and effectively. Retroperitoneal laparoscopic is better than transperitoneal laparoscopic on postoperative recovery aspects.
