A Clinical Experience of Laparoscopic Nephrectomy in Primary Hospital

Zou Yun Wei; Huang Ying Long; Li Jun; Shi Yang Jun; Pu Quan; Dai Zheng Jin; Zuo Yi Gang

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Article Navigation > Journal of Kunming Medical University > 2018 > 39(08): 43-46

Zou Yun Wei , Huang Ying Long , Li Jun , Shi Yang Jun , Pu Quan , Dai Zheng Jin , Zuo Yi Gang . A Clinical Experience of Laparoscopic Nephrectomy in Primary Hospital[J]. Journal of Kunming Medical University, 2018, 39(08): 43-46.

Citation:

Zou Yun Wei , Huang Ying Long , Li Jun , Shi Yang Jun , Pu Quan , Dai Zheng Jin , Zuo Yi Gang . A Clinical Experience of Laparoscopic Nephrectomy in Primary Hospital[J]. Journal of Kunming Medical University, 2018, 39(08): 43-46.

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A Clinical Experience of Laparoscopic Nephrectomy in Primary Hospital

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基金：国家自然科学基金资助项目 (81460384);

Received Date: 2018-03-14

Abstract

Abstract

Objective To investigate the clinical value and the experience of retroperitoneal laparoscopic nephrectomy in primary hospitals. Methods A retrospective analysis of 20 cases of retroperitoneal nephrectomy performed in the people's hospital of Jianshui from July 2014 to December 2017 and 23 cases of open nephrectomy in the same period as the control group, the two groups of surgery and postoperative recovery were analyzed and compared. Results The two groups of patients were operated successfully. The surgery time of the laparoscopic group was (110.14 ±15.63) min and the control group was (100.33 ±10.58) min. There was no statistical difference between the two groups (P>0.05) . No complications occurred during the follow-up period between the two groups, and the difference was not statistically significant. The intraoperative blood loss in the two groups was (40.63 ±22.21) ml and (80.45 ±38.31) m L respectively, and the difference was statistically significant (P< 0.05) .The indwelling time of drainage tube in the two groups was (2-3) days and (6-7) days respectively. The difference was statistically significant (P< 0.05) , and the hospitalization time was (3.2 ±2.2) days and (6.4 ± 3.3) days respectively, the difference was statistically significant (P<0.05) . Conclusions Laparoscopic nephrectomy has the advantages of less trauma, faster recovery and shorter hospital stay. With the improvement of operation technique, it will bring more advantages and be worth popularizing.
- Laparoscopic nephrectomy,
- Primary hospital,
- Clinical value

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References(15)

References

[1]	[1]RASSWEILER J J, TEBER D.Advances in laparoscopic surgery in urology[J].Nat Rev Urol, 2016, 13 (7) :387-399.
[2]宁忠运, 丁辉, 包军胜, 等.经腹腹腔镜和后腹腔镜与开放性肾癌根治手术的疗效比较[J].临床泌尿外科杂志, 2017, 32 (05) :348-352.
[3]	[3]MOLINA C A F, BESSA JUNIOR J, ESTEVANATO A G, et al.Applicability of laparoscopic nephrectomy in the treatment of multicystic dysplastic kidney:Sorting out surgical indication[J].Cureus, 2018, 10 (1) :e2014.
[4]	[4]VERHOEST G, COUAPEL J P, OGER E, et al.Safety and feasibility of laparoscopic nephrectomy for big tumors (≥10 cm) :A retrospective multicentric study[J].Clin Genitourin Cancer, 2016, 14 (4) :e335-340.
[5]宋体松, 葛玉锋, 姬超, 等.县级医院泌尿外科腹腔镜手术1000例报道[J].现代泌尿外科杂志, 2011, 16 (06) :524-526.
[6]刘显河, 杨红, 朱家红, 等.180例后腹腔镜下肾上腺及上尿路疾病治疗分析[J].中华全科医学, 2017, 15 (1) :69-71.
[7]	[7]FAN X, XU K, LIN T, et al.Comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy for renal cell carcinoma:a systematic review and meta-analysis[J].BJU Int, 2013, 111 (4) :611-621.
[8]	[8]KIM H Y, LEE D S, YOO J M, et al.Retroperitoneal Laparoscopic radical nephrectomy for large (>7 cm) solid renal tumors:Comparison of perioperative outcomes with the transperitoneal approach[J].J Laparoendosc Adv Surg Tech A, 2017, 27 (4) :393-397.
[9]	[9]SAVRAN-KARADENIZ M, KISA I, SALVIZ E A, et al.Can surgical approach affect postoperative analgesic requirements following laparoscopic nephrectomy:Transperitoneal versus retroperitoneal A prospective clinical study[J].Arch Esp Urol, 2017, 70 (6) :603-611.
[10]	[10]JAIN S, JAIN S K, KAZA R C M, et al.This challenging procedure has successful outcomes:Laparoscopic nephrectomy in inflammatory renal diseases[J].Urol Ann, 2018, 10 (1) :35-40.
[11]江敏, 吴福敏, 刘仲, 等.后腹腔镜肾切除术肾蒂处理技巧与疗效分析[J].微创泌尿外科杂志, 2017, 6 (2) :82-84.
[12]高江平, 郭刚, 朱捷, 等.后腹腔镜肾切除术快速寻找肾血管的方法[J].临床泌尿外科杂志, 2007, 22 (3) :172-174.
[13]王强, 蔡明, 石炳毅, 等.158例后腹腔镜下结核肾切除术临床分析[J].解放军医学院学报, 2015, 36 (8) :794-796+800.
[14]杨茂林, 余闫宏, 肖民辉, 等.后腹腔镜根治性肾切除与肾部分切除中转开放的危险因素分析[J].昆明医科大学学报, 2012, 33 (12) :91-95.
[15]马伟国, 金素慧, 彭雪芹, 等.后腹膜腹腔镜下肾切除术在初学阶段的操作体会[J].临床泌尿外科杂志, 2016, 31 (10) :934-936.

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