改良左肋缘下斜切口在手助腹腔镜根治性左肾切除术中的应用  

Application of the Modified Subcostal Oblique Incision in Hand Assisted Laparoscopic Radical Nephrectomy

作　　者：王翰博[1] 孙利国 李关彬 薛爱兵 熊晖[1] 蒋绍博[1] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250021 [2]山东省临沂市肿瘤医院泌尿外科,山东临沂276000

出　　处：《泌尿外科杂志（电子版）》2013年第3期20-22,共3页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的观察改良左肋缘下斜切口在手助腹腔镜根治性左肾切除术中的应用价值。方法 2011年9月至2012年12月本科室对58例左肾肿瘤患者采用改良左肋缘下斜行切口作为手助切口,行手助腹腔镜根治性左肾切除术。其中,男36例,女22例,年龄42~74岁,平均56.3岁。肿瘤直径4.2~11cm,平均7.6cm。结果 58例患者手术均成功完成,手术时间46~86分钟,平均58.5分钟。切口均获一期愈合,无一例出现腹部切口感染、脂肪液化等并发症。结论改良左肋缘下斜切口行手助腹腔镜根治性左肾切除术,有利于术者左手辅助操作暴露,减少术者手部不适,是一种较理想的左侧手助切口选择。Objective To evaluate the clinical application of the the Modified subcostal oblique incision in Hand assisted laparoscopic radical nephrectomy for the treatment of the left RCC .Methods From September 2011 to December 2012, 58 Left RCC patients were treated with Hand assisted laparoscopic radical nephrectomy by u-sing the Modified subcostal oblique incision as the hand assisted insicion .There were 36 males and 22 females, aged 42 to 74 years with an average age of 56.3 years, the diameter of the tumor size was 7.6(4.2~11) cm. Results All operations were performed successfully without conversion to open surgery .The mean operation time was 58.5(46~86) min.All incisions primarily healed .Conclusion As for the hand assisted incision in hand assisted laparoscopic radical nephrectomy of the left RCC , the Modified subcostal oblique incision can be helpful to expose the operation area and reduce the discomfort of the surgeon ’ s assisted left hand .

关 键 词：改良左肋缘下斜切口 手助腹腔镜根治性肾切除术 

分 类 号：R737.11[医药卫生—肿瘤]