泌尿外科腹腔镜手术并发症的处理策略

Prevention and management of complications of laparoscopic surgery in urology

自泌尿外科进入微创时代以来,微创概念已深深植入泌尿外科医师和患者心中,其中腹腔镜技术作为微创技术的主要组成部分应用日益广泛。当前泌尿外科腹腔镜已从原有单纯器官切除术发展到高难度重建手术。虽然与传统开放手术相比,腹腔镜手术具有切口小、术后恢复快和美观度好等优点,但亦存在操作复杂、学习曲线长等不足。因此避免泌尿外科腹腔镜手术的并发症,总结其相关处理策略非常必要。本文结合当前泌尿外科腹腔镜手术的临床实践,将腹腔镜手术并发症的处理策略总结如下:术前准备,治疗个体化,术中术后的相关策略等。

Along with the spread of the concept of minimally invasive surgery and renewal of instruments,laparoscopic surgery has been used increasingly in urology,and its indications have been enlarged gradually.Compared with open surgery,laparoscopic surgery showed less trauma,shorter recovery time,better cosmetic effect and many other advantages.However,its defects are obviously that the learning curve of laparoscopic surgery is much longer,and it is also complicated to operate.Besides,complications followed spread of laparoscopic surgery can not be ignored yet.Solid surgical skill,abundant clinical experience and meticulous perioperative management are not only the basis of complete laparoscopic surgery,but also the guarantee of prevention and management of related complications.