内镜辅助下小切口在泌尿外科手术中的应用(附35例报告)

Portless endoscopic surgery in urology(Report of 35caces)

目的:总结内镜辅助下小切口在泌尿外科手术中的临床应用经验.方法:应用内镜辅助下小切口施行泌尿外科手术35例,其中根治性肾切除术2例,单纯性肾切除术(结核肾、无功能肾)3例,肾上腺肿瘤切除术15例,盂管成形术3例,肾盂输尿管切开取石术2例,肾囊肿去顶减压术10例.结果:①根治性肾切除或单纯性肾切除手术时间平均120 min,术中出血约100 ml;②肾上腺肿瘤切除手术时间平均110 min,术中出血50～80ml;③盂管成形术、肾盂输尿管切开取石术、肾囊肿去顶减压术手术时间平均60～90 min,术中出血50～80 ml.结论:内镜辅助下小切口泌尿外科手术具有创伤小、价格低、无需专门设备及人员培训的特点,易于在基层医院推广普及,为泌尿外科微创手术提供了新方式.

Objective： To present out clinical experience on portless endoscopic urological surgery. Methods： Clinical data of 35 cases of patients received portless endoscopic surgery were reviewed retrospectively, including renal cell carcinoma（2 cases）, adrenal tumor（15 cases）, renal cyst（ 10 cases）, giant nephrohydrosis（3 cases）, renal and urethral calculi（2 cases） . Results： The averge operation time for radical nephrectomy and adrenalectomy were 100 minutes, 60-90 minutes for Anderson-Hynes pyeloplasty and surgical decompression of cystic kidney and pyelolithotomy. Conclusions： The portless endoscopic adrenalectomy has the advantages of minimal invasion, lower cost for hospitalization,no requiring for special facilities and specialist, and was easy to conduct.