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我院自1997年6月至1997年8月经腹膜后腔施行腹腔镜手术(又称后腹腔镜手术)4例,均获成功,报告如下。 1 资料与方法 1.1 一般资料 本组4例中,男2例,女2例,22～59岁。左肾囊肿3例,左肾动脉狭窄并醛固酮症1例。 1.2 手术方法 术前灌肠,硬膜外麻醉或气管内插管全麻,取肾脏手术体位。于第十二肋尖下方作长约1.5cm横切口,切开皮肤后血管钳钝性分离至腰背筋膜,手指戳破腰背筋膜并分出一间隙,置入内有尿管的手术手套,注水400～800ml,维持3～5min,排水取出水囊。手指引导下置入其余套管,于切口处放入腹腔镜,注入CO_2。经操作孔置入手术器械进行手术。
Our hospital from June 1997 to August 1997 by the retroperitoneal laparoscopic surgery (also known as retroperitoneal laparoscopic surgery) in 4 cases, were successful, the report is as follows. 1 Materials and Methods 1.1 General Information The group of 4 patients, 2 males and 2 females, 22 to 59 years of age. Left renal cyst in 3 cases, left renal artery stenosis and aldosterone in 1 case. 1.2 surgical preoperative enema, epidural anesthesia or endotracheal intubation general anesthesia, kidney surgery position. At the bottom of the twelfth rib tip for about 1.5cm transverse incision, incision skin blunt dissection of the vascular forceps to the back fascia, finger puncture back and back fascia and a gap, into the surgical gloves with a catheter , Watering 400 ~ 800ml, maintaining 3 ~ 5min, draining out of the water sac. Under the guidance of the finger into the remaining casing, into the laparoscopic incision, injection CO_2. The operating hole into the surgical instruments for surgery.