手助腹腔镜肾切除术30例报告
腹腔镜,,肾切除术;腹腔镜;病例报告,1资料与方法,2结果,3讨论,参考文献:
【摘要】 目的:探讨手助腹腔镜肾切除术的方法和临床应用价值。方法:为30例患者施行手助腹腔镜肾切除术,其中根治性肾切除术20例,单纯性肾切除术3例,肾输尿管全长切除膀胱袖套状切除术4例,活体供肾切除术3例。结果:30例手助腹腔镜肾切除手术均获成功。手术时间80~260min,平均162min;术中出血30~200ml,平均96ml。结论:手助腹腔镜手术不仅具有常规腹腔镜手术创伤小、患者康复快等优点,且操作相对简单,易掌握,安全性较高,适合于泌尿系大器官、复杂手术。【关键词】 肾切除术;腹腔镜;病例报告
Handassisted laparoscopic nephrectomy:with a report of 30 cases
XIN Jun,ZHENG Shaobin,XIN Minghua,et al.
1.Dept.of Urology,the First Hospital of Quanzhou City,Quanzhou 362000,China;2.Southern Hospital of Southern Medical University
【Abstract】 Objective:To evaluate the effect and clinical application of handassisted laparoscopic nephrectomy.Methods:Thirty patients underwent handassisted laparoscopic nephrectomy:radical nephrectomy was performed in 20 cases, simple nephrectomy in 3 cases, nephroureterectomy in 4 cases, and donor nephrectomy in 3 cases.Results:Handassisted laparoscopic nephrectomy were performed successfully on all patients.The mean operation time was 162 minutes(80260min),and the mean blood loss was 96 ml(30200ml).Conclusions:Handassisted laparoscopic nephrectomy is not only less traumatic but also less postoperative discomfort and quick recovery.High safety and easy manipulation in such cases are main advantages.So handassisted laparoscopic surgery is preferred in urological big organs and some complicated operations. ......
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