目的探讨手助腹腔镜肾切除术的方法和临床应用价值。方法运用手助腹腔镜技术对12例肾癌患者行根治性肾切除术;3例巨大肾积水患者行单纯肾切除术。观察手术时间、术中出血量、胃肠功能恢复时间和住院时间。结果 15例手术全部成功。其中手术时间100～210min,平均165min,术中出血量40～200mL,平均112mL。术后住院3～7d,平均5d。结论与开放手术及传统腹腔镜手术相比,手助腹腔镜手术具有创伤小、出血少、恢复快等优点,为复杂肾脏切除手术提供了新的相对便利的微创术式。 Objective To explore the hand-assisted laparoscopic nephrectomy method and clinical value. Methods 12 patients with renal cell carcinoma underwent radical nephrectomy by hand-assisted laparoscopy. Three patients with giant hydronephrosis underwent nephrectomy. The operation time, intraoperative blood loss, gastrointestinal function recovery time and hospital stay were observed. Results All the 15 surgeries were successful. The operation time was 100 ~ 210min, average 165min, intraoperative blood loss 40 ~ 200mL, an average of 112mL. Postoperative hospital 3 ~ 7d, an average of 5d. Conclusion Compared with open surgery and traditional laparoscopic surgery, hand-assisted laparoscopic surgery has the advantages of less trauma, less bleeding and quicker recovery. It provides a new and relatively convenient minimally invasive surgery for complicated nephrectomy.