摘要
目的总结后腹腔镜技术在泌尿外科切除与成形手术中应用的临床经验。方法泌尿系疾病患者245例，均采用腹腔镜技术经腹膜后途经完成手术，包括肾上腺切除术17例、根治性肾切除术32例、肾部分切除术12例、肾结核肾切除术15例、巨大肾积水肾切除术5例、无功能肾切除术32例、马蹄肾单侧无功能肾切除术1例、肾盂癌根治术5例、肾盂旁囊肿去顶减压术6例、肾囊肿去顶减压术46例、多囊肾去顶减压术4例（6侧）、肾盂成形术12例、输尿管切开取石术58例（62侧）。结果245例（251侧）均一次成功，手术时间20～250min，平均59min。术中出血量约5～300ml。手术并发症有腹膜损伤4例，立即缝合；皮下气肿9例、皮下瘀血2例，术后自行吸收；切口漏尿3例，经过半卧位引流和保留导尿4～7d后停止。恢复顺利，术后1～7d下床活动。结论后腹腔镜手术具有创伤小、术后恢复快、并发症少等优点，在泌尿外科器官保留及功能重建手术中优势显著。
Objective To evaluate the safety and efficacy of retroperitoneal laparoscopic resection and reconstructive surgeries in urology. Methods Retroperitoneal laparoscopic resection and reconstructive surgeries were performed on 245 patients including 17 cases of adrenalectomies, 32 cases of radical nephrectomies, 12 cases of partial nephrectomies, 53 cases of nephrectomies, 5 cases of nephroureterectomies, 6 cases of unroofing of peripelvic renal cysts, 46 cases of unroofing of renal cysts, 4 cases of unroofing of polycystic kidneys, 12 cases of pyeloplasties, 58 cases of ureterolithotomies. Results All 245 surgeries were successfully completed. The mean operation time was 59 （20-250） min and the estimated blood loss was 5-300 ml with no transfusion. There was no serious complication during perioperative period. Conclusion Retroperitoneal laparoscopic resection and reconstructive surgery in urology is safe and effective with the advantages of minimal invasion, quick recovery and few complications.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2008年第11期763-766,共4页
Chinese Journal of Urology
关键词
后腹腔镜
泌尿外科
切除
成形
Retroperitoneal laparoscopes
Urology
Resection
Reconstruction
