关键词: 泌尿外科手术, 后腹腔镜检查

Abstract: 【Abstract】〓Objective〓To evaluate the applicability and experience of retroperitoneal laparoscopic operation in primary hospital. Methods〓The clinical data of 81 patients that underwent urologic surgery by retroperitoneal laparoscopy were retrospectively collected and analyzed. Results〓The surgeries were successful in 79 cases. One case of adrenal neoplasm was converted to open surgery because of heavy bleeding during operation. Another case of renal cyst was converted to open surgery due to active bleeding post operation. The average time for operation was 2.5 h (ranged 0.5-7.5 h). No severe complication was observed after operation. The average hospitalized time post-operation was 5.5 d (ranged 2-14 d). Conclusion〓Retroperitoneal laparoscopy is a suitable choice for urologic operations in primary hospitals, with the advantages of minimal invasion, rapid recovery, less complication and short hospitalization days. The step-wise progression from basic to advanced techniques, the optimal screening of candidate through indications and contraindications, and pro-active problem solving is essential at the initial stage.

Key words: Urologic surgery, Retroperitoneal laparoscope