摘要
目的:探讨腹腔镜技术在泌尿系和胆囊疾病中联合应用的可行性及应用前景。方法:回顾性分析2001年10月～2004年6月间施行的腹腔镜联合手术28例,分别为腹腔镜胆囊切除术(LC)联合肾脏切除术4例,联合肾囊肿去顶减压术22例,联合肾上腺切除术2例。结果:1例右侧肾上腺结核病者因与下腔静脉粘连严重改行开放手术,其余联合手术均获成功。手术时间50～150min,平均110min;术中出血10～50ml,平均20ml;术后12～36h肛门排气,无并发症。术后住院4～6天,平均4.7天。结论:只要严格掌握联合手术指征,腹腔镜联合手术就能够安全、有效地同时处理泌尿系及胆囊共存疾病,具有良好的应用前景。
Objective:To define the feasibility of laparoscopic combined procedures in dealing with urinary diseases combined with cholecyst diseases simultanously.Methods:From October 2001 to June 2004, 28 patients were submitted to combined laparoscopic procedures,in which 22 cases received laparoscopic cholecystectomy (LC) plus laparoscopic decortication of renal cysts, 4 cases received LC plus laparoscopic nephrectomy, and 2 cases received LC plus laparoscopic adrenalectomy.Results:Twenty-seven patients underwent laparoscopy successfully and 1 case was converted to open surgery for the severe adhesion with inferior vena cava. No complication was noted. The operative time duration ranged from 50 to 150 min (mean 110 min ). Blood loss ranged from 0 to 50 ml(mean 20 ml). The postoperative hospital stay ranged from 4 to 6 days(mean (4.7) days).Conclusions:By laparoscopic surgery , two or more diseases could be treated safely and effectively.
出处
《临床泌尿外科杂志》
2005年第6期324-325,共2页
Journal of Clinical Urology
