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腹腔镜治疗泌尿外科疾病463例的临床分析 被引量:10

Laparoscopic treatment of urologic diseases with 463 cases
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摘要 目的评价腹腔镜手术治疗泌尿外科疾病的方法和疗效。方法采用腹腔镜行肾盂、输尿管切开取石术112例。单纯肾切除术126例、肾囊肿去顶减压术103例、肾部分切除术31例、。肾肿瘤根治术15例、肾盂输尿管成形术11例、重复肾输尿管切除术3例、腔静脉后输尿管离断吻合术2例,精索内静脉曲张高位结扎术47例、肾盂肿瘤根治术8例、肾上腺肿瘤或肾上腺切除术5例。术后随访1—12个月。结果461例(99.6%)获得成功,中转开放2例(0.4%),无输血,无重大并发症。术后随访1~12个月,所有患者症状均消失或好转,未见原发病复发。结论腹腔镜手术治疗泌尿外科疾病安全、有效、创伤小、出血少、患者术后恢复快。 Objective To summarize the experience of using laparoscopic technique for treatment of urologic diseases.Methods 463 laparoscopic surgeries were included 112 cases of laparoscopic ureterolithotomy,126 cases of simple nephrectomy,103 cases of unroofing of renal cysts,15 cases of radical nephrectomy,47 cases of ligations of spermatics vessels,three cases of nephrourectomy of renal duplication,13 cases of pyeloureteroplasty,five cases of adrenalectomy,eight cases of radical nephroureterectomy.Patients were followed up for 1~12 months.Results 461 cases(99.6%)were sucessful,2 cases(0.4%)were conuerted to the open surgery transfu-sion,were needed.No major complications were observed.During follow-up period,all patients had symptoms disappeared or im-proved.No recurrence were observed of the original.Conclusions Laparoscopic techniqe is a safe effective and minimally invasive procedure for the treatment of urologic disease.
出处 《中华腔镜泌尿外科杂志(电子版)》 2010年第3期45-47,共3页 Chinese Journal of Endourology(Electronic Edition)
关键词 腹腔镜 泌尿外科疾病 手术 Laparoscopy Urological disease Surgery
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