泌尿外科腹腔镜手术改行开放手术的原因浅析

发布时间：2019-01-26 14:16

【摘要】：目的　分析泌尿外科腹腔镜手术改行开放手术的原因。　方法　对 16 5例泌尿外科腹腔镜手术患者的临床资料进行分析 ,其中 2 6例 (16 % )改行开放手术。　结果　 2 6例改行开放手术原因 :未找到病灶 8例 ,气腹或腹膜后充气不满意 5例 ,粘连分离困难 5例 ,出血 4例 ,损伤周围脏器 2例 ,设备故障 2例。不同疾病改行开放手术的比例分别为肾上腺手术 42 % (8/19) ,肾切除术 2 5 % (2 /8) ,肾囊肿去顶术 18% (11/6 1) ,前列腺癌盆腔淋巴结活检术 17% (1/6 ) ,精索静脉结扎术 3% (2 /6 0 ) ,隐睾探查术 19% (2 /11)。　结论　掌握适应证和手术入路、熟练操作技术、改进设备是提高泌尿外科腹腔镜手术成功率的关键
[Abstract]:Objective to analyze the causes of the conversion from laparoscopic surgery to open surgery in urology. Methods the clinical data of 165 patients undergoing laparoscopic surgery in urology were analyzed. Among them, 26 cases (16%) were changed to open operation. Results the causes of 26 cases of open surgery were as follows: no lesion was found in 8 cases, pneumoperitoneum or retroperitoneal aeration was unsatisfactory in 5 cases, adhesion separation was difficult in 5 cases, and hemorrhage was 4 cases. There were 2 cases of organ injury and 2 cases of equipment failure. The proportion of patients undergoing open surgery was 42% (8 / 19) for adrenal surgery, 25% (2 / 8) for nephrectomy, and 18% (11 / 61) for renal cyst removal. Pelvic lymph node biopsy was performed in 17% (1 / 6) of prostate cancer, spermatic vein ligation in 3% (2 / 60), and cryptorchidism exploration in 19% (2 / 11). Improving equipment is the key to improve the success rate of Urological Laparoscopic surgery
【作者单位】： 北京大学第一医院!北京大学泌尿外科研究所 100034 北京大学第一医院!北京大学泌尿外科研究所 100034 北京大学第一医院!北京大学泌尿外科研究所 100034 北京大学第一医院!北京大学泌尿外科研究所 100034 北京大学第一医院!北京大学泌尿外科研究所 100034 ，

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