CAJ | 학술논문

目的探讨手助腹腔镜肾切除术的方法和临床应用价值.方法运用手助腹腔镜技术对12例肾癌患者行根治性肾切除术;3例巨大肾积水患者行单纯肾切除术.观察手术时间、术中出血量、胃肠功能恢复时间和住院时间.结果15例手术全部成功.其中手术时间100~210min,平均165min,术中出血量40~200mL,平均112mL.术后住院3~7d,平均5d.结论与开放手术及传统腹腔镜手术相比,手助腹腔镜手术具有创伤小、出血少、恢复快等优点,为复杂肾脏切除手术提供了新的相对便利的微创术式.
목적탐토수조복강경신절제술적방법화림상응용개치.방법운용수조복강경기술대12례신암환자행근치성신절제술;3례거대신적수환자행단순신절제술.관찰수술시간、술중출혈량、위장공능회복시간화주원시간.결과15례수술전부성공.기중수술시간100~210min,평균165min,술중출혈량40~200mL,평균112mL.술후주원3~7d,평균5d.결론여개방수술급전통복강경수술상비,수조복강경수술구유창상소、출혈소、회복쾌등우점,위복잡신장절제수술제공료신적상대편리적미창술식.
Objective To evaluate the effect and clinical application of hand-assisted laparoscopic nephrectomy. Methods 15 patients underwent hand-assisted laparoscopy: radical nephrectomy was performed on 12 cases, and simple nephrectomy on 3 cases. The operating time, blood loss, postoperative intestinal function recovery and hospital stay were observed. Results All cases were performed successfully. The mean operation time was 165 minutes (100~210min),and the mean blood loss was 112 mL (40~200mL). The mean postoperative hospital stay was 5 days (3-7 days) in all cases. Conclusion With the advantages of minimal invasion, less blood loss, faster recovery, hand-assisted laparoscopy is worth popularizing in urologic clinical practice, especially in difficult nephrectomy.