后腹腔镜手术在泌尿外科中的应用(附39例报告)  

RETROPERITONEAL LAPAROSCOPIC SURGERY FOR UROLOGY (REPORT OF 39 CASES)

作　　者：陈湘[1] 齐范[1] 顿金庚[1] 谢志光[1] 余大敏[2] 欧阳建怡[3] 汤红梅[3] 

机构地区：[1]中南大学湘雅医院泌尿外科,长沙410008 [2]浙江大学附属三医院泌尿外科 [3]中南大学湘雅医院手术室

出　　处：《中国内镜杂志》2002年第1期50-51,54,共3页China Journal of Endoscopy

摘　　要：目的 :探讨后腹腔镜在泌尿外科手术中的应用。方法 :对 39例泌尿外科患者施行后腹腔镜手术。其中肾囊肿去顶术 2 9例、肾上腺肿瘤切除术 7例、肾切除术 2例、肾盂造瘘术 1例。均经后腹腔途径。结果 :39例成功。手术时间 1.0～ 4.0h ,平均 2 .0h。术中及术后均未输血 ,无明显并发症。住院时间 5～ 10d ,平均 7.8d。结论 :后腹腔镜手术具有微创、术后恢复快、住院时间短等优势 。Objective:To investigate the application of retroperitoneal laparoscopy in urology.Methods:39 urologic patients underwent retroperitoneal laparoscopic surgery.A total of 29 cases renal cyst excision, 7 cases adrenal tumor excision, 2 cases nephrectomy, 1 case pelviostomy. All cases underwent postperitoneal approach.Results:All the operations were successful in 39 cases of patients.The operation time was 1.0～4.0h with a mean of 2.0h.All patients did not receive blood transfusion and had no complication. The postoperative hospital stay was 5～10days with a mean of 7.8 days. Conclusions:Retroperitoneal laparoscopic surgery has advantages of minimal invasive, postoperative early resumption and shorter hospital stay, which has a good applied future in the urologic clinical practice.

关 键 词：腹腔镜 泌尿外科疾病 手术方法 适应证 

分 类 号：R691[医药卫生—泌尿科学]