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目的探讨后腹腔镜在治疗肾上腺、肾脏、输尿管、膀胱等脏器疾病中的临床效果。方法经腹腔及后腹腔两种途径对340例精索静脉曲张、肾上腺疾病、肾脏疾病、输尿管疾病、膀胱疾病患者实施腹腔镜手术。结果330例获得成功,中转开放10例,无输血,无严重并发症发生,疗效满意。结论后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去定术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点,临床疗效可靠,实用性较强。
Objective To investigate the clinical effect of retroperitoneal laparoscopy in the treatment of diseases such as adrenal gland, kidney, ureter and bladder. Methods Two hundred and seventy three cases of varicocele, adrenal disease, kidney disease, ureter disease and bladder disease were treated by laparoscopic surgery. Results 330 cases were successful, open transfer in 10 cases, no blood transfusion, no serious complications, with satisfactory results. Conclusions Retroperitoneal laparoscopic adrenalectomy, nephrectomy, pyeloplasty, renal cyst debridement, renal pelvis or ureterolithotomy and laparoscopic varicocele ligation have less trauma, less bleeding and fewer complications Advantages, reliable clinical efficacy, practicality.