摘要
目的 :探讨腹膜后腔镜的临床应用价值。方法 :利用自制水囊建立腹膜后腔隙 ,而后用之实施肾上腺切除 8例 ,肾切除 5例 ,输尿管切开取石 1例 ,肾囊肿和多囊肾开窗 5 4例。结果 :全组手术均获成功 ,手术时间为 30～2 5 0min ,术中出血少 ,术后平均住院 3.5d ;并发皮下气肿 1例 ,腹膜破裂 3例。结论 :腹膜后腔镜手术对腹腔内脏器干扰少 ,比腹腔途径更易显露肾、肾上腺和输尿管 ,具有腹腔镜手术一切优点 。
Objective: To explore the clinical value of retroperitoneoscopy in the treatment of lesions involving the kidneys or adrenals. Methods: Retroperitoneal cleavage was obtained by using a waterbag designed by the authous. Eight cases of adrenalectomy, 5 cases of nephrectomy, 1 case of ureterolithotomy and laparoscopic fenestration of 54 cases kidney cyst and polycytic kidneys. Results: All the operations were successful. The operative time was 30～250 min and operative blood loss was ≤30ml. The average hospitalization time was 3.5 d. One subcutaneous emphysema and three peritoneal rupture were encountreded. Conclusions: Retroperitoneoscopy rarely interferes with the functions of peritoneal organs. The exposure of the kidney(s), adrenal(s) and urinary(s) are implemented without difficult. This technique of retroperitoneoscopy possesses all the advantages of minimally invasive surgery.
出处
《外科理论与实践》
2002年第3期184-186,共3页
Journal of Surgery Concepts & Practice
关键词
腹膜后腔镜
肾上腺切除
肾切除
输尿管切开取石
肾囊肿
多囊肾
腹腔镜开窗术
Retroperitoneoscopy Adrenalectomy Nephrectomy Ureterolithotomy Kidney cyst polycystic kidney laparoscopic fenestration
