摘要
作者介绍本院１９９２年以来用电视腹腔镜肾切除１０例的体会。１０例中，男６例，女４例，最大年龄７５，最小１５岁。肾积水７例，多囊肾３例。术前均进行Ｂ超、肾功、ＣＴ检查，证实患肾功能完全丧失，健侧肾功能正常。采用腹腔镜下肾切除，操作步骤与常规手术大致相同，可配合射钉枪关闭后腹膜，腹腔内置血浆管引流２４～４８小时拨管，一周左右伤口痊愈。本组１０例恢复良好。作者认为：该术式创伤轻，出血少，痛苦小，住院时间短，恢复快，疗效优于常规术式。
Tenpatientsweresubjectedtonephrectomythroughlaparoscopevideo.Comparedwithroutinenephrectomy,ithassuchmeritsasslighttrauma,lessbleedingandpainduringtheoperationaswelasquickrecoveryandshorthospitalization.In6malepatientsand4femalepatientstheoldestonewas75yearsold,andtheyongestonewas15yearsold.Sevenpatientssuferedfromnephrohydrosisand3frompolycystickidney.Beforetheoperation,thepatientswerefoundthelossoffunctionofthedis-easedkidney.Thevideoscopewasinsertedintotheabdominalcavitythroughanoperatingholeunderthenavelmakingtheexplorationinthecavity;theotheroperationsareasbasicalasroutineoperations.Theilkidneywascutofandputintoaspecialpocket,thenitwascutintopieces,andtakenout.Theabdominalmembranewasenclosedbytheemanometer,thedrainagetubekept.Inthe10patientstheop-erationsweresuccessfulandsatisfactory.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第8期500-502,共3页
Chinese Journal of Surgery
