CAJ | 학술논문

目的总结小切口在泌尿外科手术中的临床应用经验.方法应用小切口施行泌尿外科手术43例,其中肾上腺肿瘤手术5例,肾切除手术9例,(肾肿瘤3例,囊性肾病和无功能肾积水3例,肾结核2例,炎症性肾萎缩1例),肾囊肿去顶减压术13例,肾积水肾盂成型术4例,肾盂或输尿管上段切开取结石术12例.结果 43例手术均获成功,切口长3～8 cm,手术时间平均80 min,术中出血平均100ml,所有患者均未输血,无周围脏器损伤等严重并发症.术后住院5～7 d.结论小切口泌尿外科手术具有创伤小、安全、恢复快等优点,无需特殊设备,易在基础医院推广.
목적 총결소절구재비뇨외과수술중적림상응용경험.방법 응용소절구시행비뇨외과수술43례,기중신상선종류수술5례,신절제수술9례,(신종류3례,낭성신병화무공능신적수3례,신결핵2례,염증성신위축1례),신낭종거정감압술13례,신적수신우성형술4례,신우혹수뇨관상단절개취결석술12례.결과 43례수술균획성공,절구장3～8 cm,수술시간평균80 min,술중출혈평균100ml,소유환자균미수혈,무주위장기손상등엄중병발증.술후주원5～7 d.결론 소절구비뇨외과수술구유창상소、안전、회복쾌등우점,무수특수설비,역재기출의원추엄.
Objective To summarize the clinical experiences of mini-incision urological surgery.Methods The clinical data of 43 patients who received mini-incision surgery were reviewed retrospectively.The subjects included 5 adrenal tumor excisions,9 nephrectomy,13 unroofing of solitary renal cyst,4 pyeloplasty.12 pyelolithotomy and ureterolithotomy.Results All surgical procedures were successful in the 43 cases.The length of the incision ranged from 3 to 8 cm.The average operation time was 80 minutes and average blood loss was 100 ml. No patients needed blood transfusion during the operation.No serious complications such as the surrounding organ damage happened.The postoperative hospitalization was 5-7 d. Conclusion Mini-incision approach for urological operation has the advantages of minimal invasion,safety,rapid recovery and no requirement for special equipments.Its easy to be popularized in the primary hospital.