Clinical application of retroperitoneal laparoscopic nephrectomy:Report of 21 cases / 中国微创外科杂志

ABSTRACT

Objective To discuss the techniques and indications of retroperitoneal laparoscopic nephrectomy. Methods Retroperitoneal laparoscopic nephrectomy was carried out in 21 cases from March to December in 2003, including 12 cases of renal calculus associated with severe hydronephrosis, 1 case of renal tuberculosis, 6 cases of renal carcinoma and 2 cases of renal pelvis carcinoma . Results All the operations were successfully completed and no serious complications were observed. The operation time was 2 hours ～ 3 5 hours (mean, 3 hours) and the blood loss was 10 ml ～ 300 ml (mean, 178 ml). Follow-up for 1 months ～ 9 months in 8 cases of renal carcinoma showed no recurrence or metastasis. Conclusions Retroperitoneal laparoscopic nephrectomy has advantages of minimal invasion, short hospital stay and rapid recovery, indicated for many kinds of benign or malignant renal diseases .