Retroperitoneal laparoscopic nephrecto my for nonfunctioni ng ki dney with giant hydronephrosis (Report of 36 cases)
Xie Yongpeng
Ma Xin
Gao Yu
Chen Luyao
Ming Shaoxiong
Liu Xin
Zhang Xu
Abstract：To-expl-ore-the-operati-on-methods-and-results-of-retroperitoneal-laparoscopic-nephrecto-my-for-the-treat-ment-of-nonfuncti-oni-ng-ki-dney-with-giant-hydronephrosis-.Methods-:Retroperitoneal-laparoscopic-ne-phrecto-my-was-perfor-med-on-36-cases-of-nonfuncti-oni-ng-ki-dney-with-hydronephrosis-.The-retroperitoneal-cavity-was-established-.After-wards-,3-trocars-were-i-nserted-through-the-l-u-mbar-regi-on-,the-ki-dney-was-dissociated-par-tiall-y-,and-a-s-mall-hole-was-made-,foll-o-wed-by-i-ntrarenal-fl-ui-d-drai-nage-.Then-the-ki-dney-was-full-y-mobilized-,the-renal-pedicle-was-exposed-,and-bl-ocked-with-He-m-o-l-ok-,the-nonfuncti-oni-ng-ki-dney-was-taken-out-i-n-a-speci-men-bag-,and-the-retroperitoneal-drai-nage-catheter-was-placed-.The-operati-on-ti-me-,bl-ood-l-oss-,co-mplicati-ons-duri-ng-and-after-operati-on-and-the-operati-ve-efficacy-were-observed-.Results-:All-the-operati-ons-were-successfull-y-co-mple-ted-.The-mean-operati-ve-ti-me-was-(92??5-±32??8-)mi-n-(60-1-80-mi-n-),and-bl-ood-l-oss-was-(31??4-±5??2-)mL-(1-0-1-00-mL-).Drai-nage-catheter-was-re-moved-2-3-days-after-operati-on-.There-were-no-massi-ve-he-morrhage-,i-nfecti-on-,per-itoneu-m-rupture-,i-ntraabdo-mi-nal-visceral-i-nj-ury-,and-other-severe-co-mplicati-ons-.As-for-the-cases-with-hydrone-phrotic-fl-ui-d-vol-u-me-more-than-3-000-mL-,renal-fascial-planes-and-co-mpart-ments-were-carefull-y-observed-.Conclu-sions-:Retroperitoneal-laparoscopic-nephrecto-my-for-nonfuncti-oni-ng-ki-dney-with-giant-hydronephrosis-was-proved-to-be-mi-ni-mall-y-i-nvasi-ve-,safe-and-effecti-ve-.With-respect-to-the-patients-with-hydronephrotic-fl-ui-d-vol-u-me-more-than-3-000-mL-,anato-mical-spaces-shoul-d-be-observed-carefull-y-duri-ng-operati-on-,and-after-operati-on-,the-changes-i-n-the-renal-functi-on-shoul-d-be-assessed-cl-osel-y-.
Keywords：retroperitoneal laparoscopynonfunctioning kidney with giant hydronephrosisnephrectomy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 142-145 )