Abstract:

Objective To discuss retroperitoneal laparoscopic live donor nephrectomy. Methods Re troperitoneal laparoscopic live donor nephrectomy was performed in 50 cases of kidney transplantations which were offered by relatives，and then routine method was used to transplant the kidney to the recipients. The full process ofoperation was recorded carefully. Results Fifty procedures of laparoscopic live donor nephrectomy were completed successfully. The donors recovered soon after operation，and length of stay in hospital was shortened. Theoperative incision was small and there was no complication. Conclusion Be familiar with laparoscope device andinstrument，manipulating the laparoscope device and instrument perfectly and having a good cooperation with theoperator are the key points of success.

Key words: Retroperitoneal laparoscopy, Live donor nephrectomy, Cooperation

摘要：

目的 探讨利用后腹腔镜技术行活体肾切取术的手术配合方法。方法 对 50 例亲属供肾者应用后腹腔镜技术进行活体切取，再用常规方法将供者肾脏移植给受者，详细记录手术配合的过程。结果 50 例后腹腔镜活体供肾切取手术顺利完成，供者术后手术切口小，恢复快，无手术并发症，缩短住院时间。结论 手术室护士对腹腔镜设备器械操作的熟练程度，手术步骤的熟悉程度的了解，对手术的顺利进行都起着重要的作用。

关键词:  , 后腹腔镜 ； 活体供肾切取术 ； 手术配合