改良后腹腔镜(SAFE术式)重复肾输尿管切除术的疗效分析  

Efficacy of modified laparoscopic SAFE nephroureterectomy for duplicated kidney and ureter

作　　者：仲冰[1] 王恒兵[1] 牛晓兵[1] 王功成[1] 傅广波[1] 姜熙 ZHONG Bing;WANG Hengbing;NIU Xiaobing;WANG Gongcheng;FU Guangbo;JIANG Xi(Department of Urinary Surgery,Huai′an First People′s Hospital,Nanjing Medical University,Huai′an,Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院泌尿外科,江苏淮安223300

出　　处：《徐州医科大学学报》2020年第7期517-520,共4页Journal of Xuzhou Medical University

摘　　要：目的探讨改良后腹腔镜(SAFE术式)重复肾输尿管切除术的治疗效果、手术技巧以及医师疲劳程度。方法回顾性收集2016年7月到2019年12月7例SAFE术式重复肾输尿管切除术患者的临床资料,分析手术时间、术中出血量、术后肠道恢复时间及残余肾功能等相关指标,并用疲劳指数量表评价医师疲劳程度。结果7例患者手术均成功,无严重并发症,手术时间115~175 min;术中出血量40~120 ml;术后肠道功能恢复时间1~3 d;手术医师操作疲劳程度为中低度,术后随访1~18个月,残肾功能良好。结论SAFE术式重复肾输尿管切除术安全有效,患者创伤小、恢复快,手术医师操作体位舒适,疲劳程度低。Objective To investigate the efficacy,technique and surgeon fatigue of laparoscopic nephroureterectomy for the treatment of duplicated kidney and ureter with a modified stand-alone flexible ergonomics(SAFE)operation.Methods Retrospective analysis was performed using clinical data from 7 patients who underwent laparoscopic SAFE nephroureterectomy for duplicated ureter from July 2016 to December 2019.The operation duration,intraoperative blood loss,postoperative intestinal recovery time and residual renal function were analyzed.Meanwhile,surgeon fatigue degree was evaluated by the fatigue index.Results All the seven patients successfully finished operation without serious complications.The operation duration ranged from 115 to 175 min.The intraoperative blood loss ranged from 40 to 120 ml.The postoperative recovery time of intestinal function was 1-3 days.The average surgeon fatigue degree was low to intermediate.The residual renal function was good after 1-18 months follow-up visits.Conclusions The SAFE nephroureterectomy for duplicated kidney and ureter is safe and effective,with little incision and fast recovery.Surgeons feel less fatigue when sitting in comfort.

关 键 词：重复肾输尿管 SAFE术式 后腹腔镜 疲劳指数 

分 类 号：R692.1[医药卫生—泌尿科学]