腹腔镜_____肾切除术；腹腔镜；病例报告

手助腹腔镜肾切除术30例报告

http://www.100md.com 《腹腔镜外科杂志》 2006年第1期

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

    Handassisted laparoscopic nephrectomy:with a report of 30 cases

    XIN Jun，ZHENG Shaobin,XIN Minghua,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 handassisted laparoscopic nephrectomy.Methods:Thirty patients underwent handassisted 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:Handassisted laparoscopic nephrectomy were performed successfully on all patients.The mean operation time was 162 minutes(80260min),and the mean blood loss was 96 ml(30200ml).Conclusions:Handassisted 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 handassisted laparoscopic surgery is preferred in urological big organs and some complicated operations. ......

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