3D高清腹腔镜系统在泌尿外科手术中的应用
发布时间：2018-11-11 20:00
【摘要】：目的探讨3D高清腹腔镜系统在泌尿外科领域的应用价值。方法回顾性分析2014年3月~2016年9月我院应用STORZ 3D高清腹腔镜系统完成泌尿外科手术75例资料,包括后腹腔镜肾部分切除术23例、根治性肾切除术17例、肾上腺肿物切除术5例、肾囊肿去顶术1例,经腹腔途径完全腹腔镜肾输尿管全长切除术2例,经腹膜外途径腹腔镜根治性前列腺切除术19例,经腹膜途径腹腔镜根治性膀胱切除术8例(尿流改道方式为回肠膀胱术7例,Studer原位新膀胱术1例)。结果 75例手术顺利进行,均获成功。肾部分切除术手术时间76~206 min,术中出血10~200 ml;根治性肾切除术手术时间84~228 min,术中出血10~400 ml;肾上腺肿物切除术手术时间63~115 min,术中出血5~150 ml;肾囊肿去顶术手术时间53 min,术中出血20 ml;肾输尿管全长切除术手术时间分别为393 min和165 min,术中出血分别为300 ml和50 ml;根治性前列腺切除术手术时间121~410 min,术中出血20~600 ml;根治性膀胱切除、回肠膀胱术手术时间220~561 min,术中出血150~600 ml;根治性膀胱切除、Studer原位新膀胱术手术时间288 min,术中出血200 ml。75例围手术期无严重(Ⅲ~Ⅳ级)并发症发生。结论 3D腹腔镜有三维立体高清的画面,解剖层次清晰,缝合操作相对容易,可以在临床推广应用。
[Abstract]:Objective to explore the application value of 3 D high-definition laparoscopic system in urology. Methods from March 2014 to September 2016, 75 cases of urological surgery with STORZ 3D high-definition laparoscopic system were retrospectively analyzed, including 23 cases of retroperitoneal laparoscopic partial nephrectomy, 17 cases of radical nephrectomy and 5 cases of adrenalectomy. There were 1 case of renal cystectomy, 2 cases of complete laparoscopic nephroureterectomy, 19 cases of laparoscopic radical prostatectomy via extraperitoneal approach. Laparoscopic radical cystectomy via peritoneal approach was performed in 8 cases (7 cases underwent ileal cystectomy and 1 case underwent Studer in situ cystectomy). Results 75 cases were successfully operated. Partial nephrectomy operation time 76 ~ 206 min, Hemorrhage 10 ~ 200 ml; radical nephrectomy operative time 84 ~ 228 min, intraoperative bleeding 10 ~ 400 ml; adrenal tumor excision operative time 63115 min, intraoperative bleeding 5 ~ 150 ml; Operative time of renal cystectomy: operation time: 53 min, intraoperative hemorrhage 20 ml; total nephroureterectomy time: 393 min and 165 min, intraoperative bleeding: 300 ml and 50 ml;, respectively Operation time of radical prostatectomy: 121o410 min, intraoperative bleeding 200.600 ml; radical cystectomy, ileal cystectomy, 2200.561 min, intraoperative bleeding, 150-600 ml; Radical cystectomy and Studer orthotopic cystectomy were performed for 200 ml.75 patients with intraoperative bleeding. No serious complications occurred in the perioperative period (grade 鈪，
本文编号：2325973
[Abstract]:Objective to explore the application value of 3 D high-definition laparoscopic system in urology. Methods from March 2014 to September 2016, 75 cases of urological surgery with STORZ 3D high-definition laparoscopic system were retrospectively analyzed, including 23 cases of retroperitoneal laparoscopic partial nephrectomy, 17 cases of radical nephrectomy and 5 cases of adrenalectomy. There were 1 case of renal cystectomy, 2 cases of complete laparoscopic nephroureterectomy, 19 cases of laparoscopic radical prostatectomy via extraperitoneal approach. Laparoscopic radical cystectomy via peritoneal approach was performed in 8 cases (7 cases underwent ileal cystectomy and 1 case underwent Studer in situ cystectomy). Results 75 cases were successfully operated. Partial nephrectomy operation time 76 ~ 206 min, Hemorrhage 10 ~ 200 ml; radical nephrectomy operative time 84 ~ 228 min, intraoperative bleeding 10 ~ 400 ml; adrenal tumor excision operative time 63115 min, intraoperative bleeding 5 ~ 150 ml; Operative time of renal cystectomy: operation time: 53 min, intraoperative hemorrhage 20 ml; total nephroureterectomy time: 393 min and 165 min, intraoperative bleeding: 300 ml and 50 ml;, respectively Operation time of radical prostatectomy: 121o410 min, intraoperative bleeding 200.600 ml; radical cystectomy, ileal cystectomy, 2200.561 min, intraoperative bleeding, 150-600 ml; Radical cystectomy and Studer orthotopic cystectomy were performed for 200 ml.75 patients with intraoperative bleeding. No serious complications occurred in the perioperative period (grade 鈪，
本文编号：2325973
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