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目的探讨腹腔镜在泌尿外科手术中的临床应用价值,初步总结腹腔镜手术在泌尿外科应用的体会和经验。方法选择后腹膜腔和经腹腔(包括手辅式)术式治疗肾上腺肿瘤、无功能肾积水、肾萎缩、肾盂输尿管交界处狭窄、肾盂结石、输尿管结石、肾囊肿和精索静脉曲张。结果49例手术均成功,手术时间20~220m in,平均55m in,术中出血5~100m l,平均50m l。术中患者生命体征平稳。1例肾盂结石合并肾盏多发结石,术中联合应用纤维胆道镜取石。3例中转开放手术。结论泌尿外科腹腔镜手术对术者技术要求高,需要一定的经验、耐心和熟练的操作。只要腔内操作技术熟练,腹腔镜手术治疗泌尿外科相关疾病不仅安全、微创,而且患者出血少、康复快,有些疾病可将腹腔镜手术作为首选的治疗方法。
Objective To investigate the clinical value of laparoscopy in urological surgery and to summarize the experience and experience of laparoscopic surgery in urology. Methods The peritoneal and peritoneal (including hand-assisted) techniques were used to treat adrenal tumors, non-functional hydronephrosis, renal atrophy, stenosis of the ureteropelvic junction, renal pelvis, ureteral calculi, renal cysts and varicocele. Results All the 49 surgeries were successful. The operative time ranged from 20 to 220m in with an average of 55m in. The intraoperative bleeding ranged from 5 to 100m l with an average of 50m l. Intraoperative patients with stable vital signs. One case of renal pelvis combined with multiple calyceal calculus, combined application of intraoperative choledochoscope stone. 3 cases were transferred to open surgery. Conclusions Urology Laparoscopic surgery is technically demanding on the surgeon and requires some experience, patience and skillful operation. Laparoscopic surgery for urological diseases is not only safe and minimally invasive, but also results in less bleeding and faster recovery. Laparoscopic surgery may be the preferred treatment for some diseases.