论文部分内容阅读
目的:探讨腹腔镜技术在泌尿外科重建手术中的应用。方法:总结2003~2012年开展的757例腹腔镜泌尿外科重建手术的应用情况,技术要点。包括:肾盂输尿管成形术96例,肾脏部分切除术258例,腔静脉后输尿管成形术10例,肾盂输尿管切开取石术133例,重复肾切除16例,膀胱部分切除术6例,膀胱根治性切除术131例,前列腺癌根治术142例。结果:手术一次成功率94.2%,手术时间35~480min,平均(100±33)min,出血量30~2 500ml,平均(180±39)ml,术后住院时间3~15d。结论:泌尿外科腹腔镜重建手术难度相对较大,高超的缝合、打结技术会使手术时间大大缩短。术后需长期随访功能改善情况。
Objective: To investigate the application of laparoscopy in urological reconstructive surgery. Methods: To summarize the application and technical points of 757 cases of laparoscopic urological reconstructive surgery from 2003 to 2012. Including: ureteropelvic angioplasty in 96 cases, partial renal resection in 258 cases, vena cava ureteroplasty in 10 cases, pelvic ureterolithotomy in 133 cases, repeated nephrectomy in 16 cases, partial resection of the bladder in 6 cases, 131 cases of resection, radical prostatectomy 142 cases. Results: The success rate of operation was 94.2%. The operation time was 35 ~ 480min. The mean time was 100 ± 33min. The bleeding volume was 30 ~ 2500ml. The mean operation time was 180 ± 39ml. The postoperative hospital stay was 3 ~ 15d. Conclusion: Urology laparoscopic reconstruction surgery is relatively difficult, superb suture, knotting technology will greatly reduce the operation time. Postoperative long-term follow-up function to improve the situation.