CAJ | 학술논문

目的分析后腹腔镜手术中腹膜破裂的原因及处理方法.方法回顾2011年1-12月我科部分后腹腔镜手术资料,共10例发生腹膜破裂,其中男6例,女4例,年龄18~65岁,平均43岁,包括肾上腺部分切除术2例,肾部分切除术1例,根治性肾切除术4例,肾盂成型术1例,肾输尿管全长切除术2例.结果10例腹膜破裂的原因包括患者本身体质、操作技术、解剖标识不清、术者急躁等.破损腹膜处理方法包括:直接夹闭,腹腔套管排气和器械阻挡腹膜保证空间.结论大部分腹膜破裂可以避免,掌握腹膜处理技巧有助于保证手术顺利完成.
목적분석후복강경수술중복막파렬적원인급처리방법.방법회고2011년1-12월아과부분후복강경수술자료,공10례발생복막파렬,기중남6례,녀4례,년령18~65세,평균43세,포괄신상선부분절제술2례,신부분절제술1례,근치성신절제술4례,신우성형술1례,신수뇨관전장절제술2례.결과10례복막파렬적원인포괄환자본신체질、조작기술、해부표식불청、술자급조등.파손복막처리방법포괄:직접협폐,복강투관배기화기계조당복막보증공간.결론대부분복막파렬가이피면,장악복막처리기교유조우보증수술순리완성.
Objective To analyze the reasons for peritoneal rupture and its retroperitoneal laparoscopic surgery. Methods Clinical data about 10 patients (6 males and 4 females) aged 18-65 years (mean 43 years) who underwent retroperitoneal laparoscopic surgery for peritoneal rupture in our hospital from January 2011 to December 2011 were retrospectively analyzed. Of the 10 patients, 2 underwent partial adrenalectomy, 1 partial nephrectomy, 4 radical nephrectomy, 1 pelvis shaping, and 2 nephroureterectomy. Results The reasons for peritoneal rupture included the patients' body condition, operating skills, anatomic marking ambiguity and impatience of the operator. The managing methods for peritoneal rupture included direct occlusion, evacuating gas from abdominal cavity and protection of peritoneum. Conclusion Peritoneal rupture can usually be avoided and good operating skills for peritoneum contribute to the success of retroperitoneal laparoscopic surgery.