手助腹腔镜单纯性肾切除术的临床价值

Hand-assisted laparoscopic simple nephrectomy

目的 :探讨手助腹腔镜单纯性肾切除术的临床价值。方法 :采用手助腹腔镜行单纯性肾切除术 7例。结果 :7例手术均获成功 ,无术中和术后并发症发生。手术时间 85～ 30 0min ,平均 2 0 4min ;术中出血 30～2 0 0ml,平均 85ml;肾脏大小为 (14 .0cm× 8.5cm× 7.5cm)～ (2 4 .0cm× 2 0 .0cm× 10 .0cm) ;术后住院时间 6～15d。结论 :对于标准腹腔镜手术有难度的单纯性肾切除术 ,手助腹腔镜单纯性肾切除术 ,是一种可以选择的新的手术方式。

Obejective:To evaluate the role of hand-assisted laparoscopic simple nephrectomy.Methods:Hand-assisted laparoscopic simple nephrectomy was performed on 7 patients.Results:Hand-assisted laparoscopic simple nephrectomy was performed successfully on 7 patients. There were no intraoperative and postoperative complications. The mean surgical time was 204 min (range 85～300 min), and the mean estimated blood loss was 85 ml (range 30～200 ml). The specimen ranged from 14.0 cm× 8.5 cm× 7.5 cm to 24.0 cm× 20.0 cm× 10.0 cm in size. The postoperative hospital stay was 6～15 days.Conclusions:The results showed that hand-assisted laparoscopic simple nephrectomy is an alternative surgical technique for difficult cases in standard laparoscopy.