CAJ | 학술논문

目的总结泌尿外科应用腹腔镜联合手术的体会以及围手术期处理经验.方法回顾性分析2004年8月至2011年6月,泌尿外科或联合其他科室应用经腹腹腔镜联合手术治疗76例腹部两处以上病变(泌尿外科两处疾病、泌尿外科加普外科或妇科疾病)患者的临床资料,并注重讨论手术体会和围手术期的处理.结果在遵循外科手术的基本原则的前提下,经术中相关医师密切配合、围手术期恰当处理,本组76例联合手术全部成功,无一例中转开腹,术后疼痛轻微、恢复顺利.所有患者出院后随访2月～2年,未发现腹腔感染、肠道粘连等相关并发症.结论应用经腹腹腔镜联合手术同期治疗腹部两处以上病变,通过合适的围手术期处理,可顺利完成手术及术后恢复.
목적 총결비뇨외과응용복강경연합수술적체회이급위수술기처리경험.방법 회고성분석2004년8월지2011년6월,비뇨외과혹연합기타과실응용경복복강경연합수술치료76례복부량처이상병변(비뇨외과량처질병、비뇨외과가보외과혹부과질병)환자적림상자료,병주중토론수술체회화위수술기적처리.결과 재준순외과수술적기본원칙적전제하,경술중상관의사밀절배합、위수술기흡당처리,본조76례연합수술전부성공,무일례중전개복,술후동통경미、회복순리.소유환자출원후수방2월～2년,미발현복강감염、장도점련등상관병발증.결론 응용경복복강경연합수술동기치료복부량처이상병변,통과합괄적위수술기처리,가순리완성수술급술후회복.
Objectives To summarize perioperative management of combined laparoscope surgery in urology.Methods 76 cases with abdomen diseases(urological diseases or urological disease together with general surgery disease or gynaecology disease)underwent combined laparoscope surgery from August 2004 to June 2011 were analysed respectively.This article analysis of treated cases of laparoscopic surgery retrospectively,and focus on the discuss of perioperative handling experience.Results By appropriate perioperative management,all operations were completed successful of 76 cases,no one conversion to open,after operative have slight pain and recovery smoothly.All patients followed up 2 month-2year,did't found complications.Conclusions By appropriate perioperative management,we can complete combined laparoscope surgery to treat different diseases in abdomen at the same time,to complete the surgery and postoperative recovery smoothly.