腹腔镜在泌尿外科手术中的应用(附260例报告)
腹腔镜,,腹腔镜;肾上腺;输尿管;膀胱;肾;泌尿系统病,1资料与方法,2结果,3讨论,参考文献:
【摘要】 目的:探讨后腹腔镜在治疗肾上腺、肾脏、输尿管、膀胱等脏器疾病中的临床效果。方法:经腹腔及后腹腔两种途径对260例精索静脉曲张、肾上腺疾病、肾脏疾病、输尿管疾病、膀胱疾病患者实施腹腔镜手术。结果:251例获得成功,中转开腹9例,无输血,无严重并发症发生,疗效满意。结论:后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去顶术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点,临床疗效可靠,实用性较强。【关键词】 腹腔镜;肾上腺;输尿管;膀胱;肾;泌尿系统病
Application of laparoscopy in urologic operation:with a report of 260 cases
WANG Qing,WU Qun,WANG Shengjun,et al.
Xinjiang Uygur Autonomous Regional People's Hospital,Wulumuqi 830001,China
【Abstract】 Objective:To study the clinical effects of retroperitoneal laparoscopic surgery in the management of adrenal glands,kidney,ureter and bladder diseases.Methods:260 patients,who suffered disease of adrenal glands,kidneys,ureter or bladders,were treated with laparoscopic surgery by retroperitoneal and transperitoneal approach.Results:The operations were successfully accomplished in 251 cases,9 cases converted to open operation.There were no blood transfusion or serious complication in the study.Conclusions:Retroperitoneal laparoscopic operation,such as adrenalectomy,nephropexy,pelvioplasty,unroofing of renal cyst,pelvilithotomy,ureterdithotomy and spermatic vein ligation,have the advantages of minimai invasion,less blood loss and fewer complications,which is an effective and practical procedure. ......
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