Abstract:Objective:To Primarily study the effective retroperitoneal approach laparoscopic value on the treatment of the lumbar vertebral tuberculosis and the abscess of psoas muscle. Methods:Five patients diagnosed as lumbar vertebral tuberculoses and the abscess of psoas muscle were operated for clearance by retroperitoneal laparoscopic approach.Results:Vertebral tuberculoses and the abscess of psoas muscle were successfully cleared, operational time was 150 minutes, the volume of bleeding was about 100 ml. The 7-24 month following up showed a satisfactory result that the symptom disappeared and the clinical image showed the clearances of local lesion.Conclusions:The treatment of lumbar vertebral tuberculoses by retroperitoneal laparoscopic approach combined operating dorplar has some advantages of minimally invasive, good rehabilitation, short the hospital time . It is worth popularizing.