中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
31期
53-55,56
,共4页
腹腔镜%胆囊%肾囊肿%联合手术
腹腔鏡%膽囊%腎囊腫%聯閤手術
복강경%담낭%신낭종%연합수술
Laparoscope%Cholecyst%Renal cyst%Combined surgery
目的：通过腹腔镜在胆囊切除联合非腹侧肾囊肿去顶术中的运用，探讨联合手术的安全性及疗效。方法：回顾性地分析13例腹腔镜胆囊切除联合肾上极、背侧、肾盂旁囊肿去顶术的临床资料，比较分析所有患者的手术时间、术中失血量、术后恢复情况和并发症的发生率。结果：13例腹腔镜胆囊切除联合肾囊肿去顶术均获得成功，手术时间（45±20）min，出血（30±6）mL，术后拔管时间（1.5±1.0）d，平均住院时间（3.0±2.2）d，术后未发生严重不良反应，随访半年无复发。结论：腹腔镜胆囊切除联合非腹侧肾囊肿去顶术疗效肯定，严格掌握适应证，合理运用腹腔镜，手术安全可行。
目的：通過腹腔鏡在膽囊切除聯閤非腹側腎囊腫去頂術中的運用，探討聯閤手術的安全性及療效。方法：迴顧性地分析13例腹腔鏡膽囊切除聯閤腎上極、揹側、腎盂徬囊腫去頂術的臨床資料，比較分析所有患者的手術時間、術中失血量、術後恢複情況和併髮癥的髮生率。結果：13例腹腔鏡膽囊切除聯閤腎囊腫去頂術均穫得成功，手術時間（45±20）min，齣血（30±6）mL，術後拔管時間（1.5±1.0）d，平均住院時間（3.0±2.2）d，術後未髮生嚴重不良反應，隨訪半年無複髮。結論：腹腔鏡膽囊切除聯閤非腹側腎囊腫去頂術療效肯定，嚴格掌握適應證，閤理運用腹腔鏡，手術安全可行。
목적：통과복강경재담낭절제연합비복측신낭종거정술중적운용，탐토연합수술적안전성급료효。방법：회고성지분석13례복강경담낭절제연합신상겁、배측、신우방낭종거정술적림상자료，비교분석소유환자적수술시간、술중실혈량、술후회복정황화병발증적발생솔。결과：13례복강경담낭절제연합신낭종거정술균획득성공，수술시간（45±20）min，출혈（30±6）mL，술후발관시간（1.5±1.0）d，평균주원시간（3.0±2.2）d，술후미발생엄중불량반응，수방반년무복발。결론：복강경담낭절제연합비복측신낭종거정술료효긍정，엄격장악괄응증，합리운용복강경，수술안전가행。
Objective:To explore the clinical safety and feasibility of laparoscopic cholecystectomy combined with non-gastrorenal cyst unroofing.Method:The clinical data of 13 patients who underwent combined laparoscopic cholecystectomy in upper pole of the renal,dorsal and parapelvic renal cyst unroofing were analyzed retrospectively.The operative duration,intraoperative blood loss,postoperative recovering situation and the incidence rate of complications were observed.Result: All cases combined laparoscopic cholecystectomy and non-gastrorenal cyst unroofing were performed successfully,the operative duration was (45±20)min, the blood loss was (30±6)mL,the postoperative extubation time was (1.5±1.0)d,the average hospitalized time was (3.0±2.2)d.No postoperative serious adverse reaction, followed up for half a year without recurrence.Conclusion:The effect of laparoscopic cholecystectomy combined with non-gastrorenal cyst unroofing is good and the surgery is safe and feasible.
