腹腔镜在泌尿外科手术中的应用(附260例报告)

Application of laparoscopy in urologic operation:with a report of 260 cases

目的:探讨后腹腔镜在治疗肾上腺、肾脏、输尿管、膀胱等脏器疾病中的临床效果。方法:经腹腔及后腹腔两种途径对260例精索静脉曲张、肾上腺疾病、肾脏疾病、输尿管疾病、膀胱疾病患者实施腹腔镜手术。结果:251例获得成功,中转开腹9例,无输血,无严重并发症发生,疗效满意。结论:后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去顶术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点,临床疗效可靠,实用性较强。

Objective：To study the clinical effects of retroperitoneal laparoscopic surgery in the management of adrenal glands, kidney, ureter and bladder diseases. Methods： 260 patients, who suffered disease of adrenal glands, kidneys, ureter or bladders, were treated with laparoscopic surgery by retroperitoneal and transperitoneal approach. Results： The operations were successfully accomplished in 251 cases,9 cases converted to open operation. There were no blood transfusion or serious complication in the study. Conclu. sions： Retroperitoneal laparoscopic operation, such as adrenalectomy, nephropexy, pelvioplasty, unroofing of renal cyst, pelvilithotomy, ureterdithotomy and spermatic vein ligation,have the advantages of minimai invasion, less blood loss and fewer complications, which is an effective and practical procedure.