单孔腹膜后腔镜在肾切除中的应用  

Application of retroperitoneal single-port laparoscope in nephrectomy

作　　者：麦源[1] 尹杰[1] 何国伟[1] 麦能斌[1] 陈向新[1] 林靖波[1] 

机构地区：[1]佛山市第二人民医院泌尿外科,广东佛山528000

出　　处：《岭南现代临床外科》2013年第2期128-130,共3页Lingnan Modern Clinics in Surgery

基　　金：广东省佛山市医学科研基金立项课题(2011096)

摘　　要：目的总结腹腹后单孔腔镜在肾切除中的应用经验。方法回顾性分析30例应用传统腹膜后腔镜及腹膜后单孔腔镜技术行肾切除术的患者临床资料(各15例)。对两组的手术时间,出血量,手术切口长度,术后伤口引流管拔出时间,术中及术后并发症,术后下床活动时间及术后住院时间进行对比分析。结果 30例手术均获得成功。传统腹膜后腹腔镜手术时间在90～150min,出血量20～100mL。腹膜后单孔腔镜手术时间在120～210min,出血量20～150mL,两组术后恢复情况相当。结论腹腹后单孔腔镜手术在肾切除中安全可行、手术效果满意,较传统腹膜后腹腔镜切口创伤更少更美观,符合患者微创和外观美容方面的需求,但手术难度明显增加。Objective To summarize the experience on the application of retroperitoneal single-port laparoscope in nephrectomy. Methods Fifteen patients were treated with traditional retroperitoneal laparoscopic nephreetomy and other 15 cases with retroperitoneal single-port laparoscopic nephreetomy from Jan 2010 to Oct 2012. The clinical data were comparatively analyzed including operation time, blood loss, length of incision, removing time of drainage tube, intraoperative and post-operative complications, postoperative activity time and hospitalization time. Results All operations were eompleted successfully. No signifieant differences were found between two groups, while the retroperitoneal single- port laparoscopic nephrectomy had longer operative time and smaller operative ineision. Conclusion Retroperitoneal single-port laparoscopie nephreetomy is a safe, feasible, clinieal effeetive operation that satisfies patient＇s expectation in minimally-invasion and better eosmetic outcome.

关 键 词：后腹腔镜 单孔 肾切除 

分 类 号：R612[医药卫生—外科学]