中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
1期
99-100
,共2页
腹腔镜%多科室%联合手术
腹腔鏡%多科室%聯閤手術
복강경%다과실%연합수술
Laparoscopy%More sections%Joint Surgery
目的 探讨应用腹腔镜完全手术野的功能行多科室联合手术的临床价值.方法 总结本院2年45例应用腹腔镜普外、妇产、泌外多科室联合手术的方法,手术效果.19例胆囊合并子宫肌瘤,11例胆囊合并卵巢囊肿,9例胆囊合并卵巢畸胎瘤,1例脾合并子宫肌瘤,1例肝左叶良性结节合并子宫肌瘤,3例阑尾合并子宫肌瘤,1例脾合并左肾囊肿开窗,均在腹腔镜下切除胆囊,肾囊肿囊壁电凝开窗、肝左叶、脾、卵巢囊肿、卵巢畸胎瘤、阑尾、9例子宫切除.15例腹腔镜辅助阴式子宫切除.结果 部分需要增加1～2个穿刺孔,手术时间增加10～40 min,全组术后恢复良好,不增加住院时间,无并发症.结论 一次麻醉完成多种疾病手术,充分利用腹腔镜的完全手术野的功能,多科室联合手术治疗腹腔内多种疾病,不仅体现微创优势,还缩短了麻醉、手术和住院时间,从而减轻了患者的经济负担.
目的 探討應用腹腔鏡完全手術野的功能行多科室聯閤手術的臨床價值.方法 總結本院2年45例應用腹腔鏡普外、婦產、泌外多科室聯閤手術的方法,手術效果.19例膽囊閤併子宮肌瘤,11例膽囊閤併卵巢囊腫,9例膽囊閤併卵巢畸胎瘤,1例脾閤併子宮肌瘤,1例肝左葉良性結節閤併子宮肌瘤,3例闌尾閤併子宮肌瘤,1例脾閤併左腎囊腫開窗,均在腹腔鏡下切除膽囊,腎囊腫囊壁電凝開窗、肝左葉、脾、卵巢囊腫、卵巢畸胎瘤、闌尾、9例子宮切除.15例腹腔鏡輔助陰式子宮切除.結果 部分需要增加1～2箇穿刺孔,手術時間增加10～40 min,全組術後恢複良好,不增加住院時間,無併髮癥.結論 一次痳醉完成多種疾病手術,充分利用腹腔鏡的完全手術野的功能,多科室聯閤手術治療腹腔內多種疾病,不僅體現微創優勢,還縮短瞭痳醉、手術和住院時間,從而減輕瞭患者的經濟負擔.
목적 탐토응용복강경완전수술야적공능행다과실연합수술적림상개치.방법 총결본원2년45례응용복강경보외、부산、비외다과실연합수술적방법,수술효과.19례담낭합병자궁기류,11례담낭합병란소낭종,9례담낭합병란소기태류,1례비합병자궁기류,1례간좌협량성결절합병자궁기류,3례란미합병자궁기류,1례비합병좌신낭종개창,균재복강경하절제담낭,신낭종낭벽전응개창、간좌협、비、란소낭종、란소기태류、란미、9례자궁절제.15례복강경보조음식자궁절제.결과 부분수요증가1～2개천자공,수술시간증가10～40 min,전조술후회복량호,불증가주원시간,무병발증.결론 일차마취완성다충질병수술,충분이용복강경적완전수술야적공능,다과실연합수술치료복강내다충질병,불부체현미창우세,환축단료마취、수술화주원시간,종이감경료환자적경제부담.
Objective To investigate the application of laparoscopic surgical field full of multi-functional co-operation department of clinical value. Methods 2 years in our hospital 45 case of laparoscopic general surgical, maternity, secretion outside the joint operation of multi-section method, the effect of surgery. 19 cases of gallbladder Hysteromyoma merger, the combined 11 cases of cystic ovarian cyst, 9 cases with ovarian cystic teratoma, 1 case of uterine leiomyoma combined spleen, left lobe 1 cases of benign liver nodules Hysteromyoma merger, the combined three cases of appendiceal uterine leiomyoma, 1 case of splenic cyst fenestration combined left kidney. In the laparoscopic resection of the gallbladder, kidney cyst wall fenestration electrocoagulation, left lobe of liver, spleen, ovarian cyst, ovarian teratoma, appendicitis,9 cases of uterine resection. 15 cases of laparoscopic assisted vaginal hysterectomy. Results Some of the need to increase 1 to 2 puncture holes to increase the operation time 10 ～40 min, a good recovery after the whole group, not to increase the length of stay without complications. Conclusion Completed a variety of diseases of narcotic operation, make full use of laparoscopic surgical field the complete functions, multi-section joint intra-abdominal surgery for a variety of diseases, not only the advantages of minimally invasive, but also shorten the anesthesia, surgery and hospitalization time, so as to reduce the the financial burden of patients.
