腹腔镜泌尿外科手术326例临床经验总结

Clinical experience of laparoscopic surgery in urology: Report of 326 cases

目的探讨腹腔镜手术治疗泌尿外科疾病的临床疗效并总结经验。方法总结2006年3月至2010年8月期间采用腹腔镜手术治疗326例泌尿外科疾病的临床资料。其中精索静脉高位结扎术148例、肾囊肿去顶减压术45例、输尿管切开取石术72例、鞘状突高位结扎术15例、肾蒂淋巴管结扎术7例、肾切除术10例、离断性肾盂成形术10例、肾上腺肿瘤切除术10例、肾癌根治术6例、隐睾下降固定术2例、巨输尿管成形术1例。结果 322例手术获成功,4例中转开放手术。手术时间12～270min。术中出血量2～500ml,术后住院时间2～11d。未发生严重并发症。结论腹腔镜手术治疗泌尿外科疾病具有微创、并发症少、术后恢复快、住院时间短等优势,疗效满意,应用价值高。

Objective To investigate the clinical effect of laparoscopic surgery for the treatment of urologic diseases and summarize the experience. Methods From March 2006 to April 2010, 326 patients underwent laparoscopic surgery in our department. Among them, 148 cases underwent varicocelectomy, 45 cases renal cyst deroofing, 72 cases ureterolithotomy, 15 cases high ligation of vaginal process, 7 cases renal hilar lymphatic ligation, 10 cases nephrectomy, 10 cases dismembered pyeloplasty, 10 cases adrenal tu- morectomy, 6 cases radical nephrectomy, 2 cases orehidopexy, 1 case ureteroplasty and ureterocystanasto- mosis. Results The operations of 322 cases were accomplished sucessfully. 4 case were converted to tradi- tional open surgery. The operation time was 12 to 270 minutes. The blood loss was 2 to 500 ml. Hospital stay duration was 2 to 11 days. No severe complications occurred in this group. Conclusion Laparoscopic surgery has advantages of minimal invasion, less complications, rapid postoperative recovery and shorter hospital stay, which has satisfactory effect on the treatment of urologic diseases and has a great application value in the urologic clinical practice.