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学科主题: 泌尿外科学
题名:
泌尿外科腹腔镜手术改行开放手术的原因浅析
其他题名: Analysis of the causes of laparoscopic converted to open surgery in urology
作者: 李昕; 那彦群; 郝金瑞; 张晓春; 周利群; 郭应禄
关键词: 泌尿系疾病 ; 腹腔镜术 ; 外科,手术
刊名: 中华泌尿外科杂志
发表日期: 2001
DOI: 10.3760/j:issn:1000-6702.2001.05.016
卷: 22, 期:5, 页:304-306
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 分析泌尿外科腹腔镜手术改行开放手术的原因。 方法 对165例泌尿外科腹腔镜手术患者的临床资料进行分析,其中26例(16%)改行开放手术。 结果 26例改行开放手术原因:未找到病灶8例,气腹或腹膜后充气不满意5例,粘连分离困难5例,出血4例,损伤周围脏器2例,设备故障2例。不同疾病改行开放手术的比例分别为肾上腺手术42%(8/19),肾切除术25%(2/8),肾囊肿去顶术18%(11/61),前列腺癌盆腔淋巴结活检术17%(1/6),精索静脉结扎术3%(2/60),隐睾探查术19%(2/11)。 结论 掌握适应证和手术入路、熟练操作技术、改进设备是提高泌尿外科腹腔镜手术成功率的关键。 Objective To analyze the causes of laparoscopic converted to opensurgery in urology. Methods The study included 165 patients undergoing urologic laparoscopic surgery in our institute. A total of 26 patients(16%) converted to open surgery during the procedure. Results The primary causes of conversion to open surgery were missed target in 8 patients, discontent of intraperitoneal or retroperitoneal insufflation in 5, adherence in 5,hemorrhage in 4,injury of organ in 2 and malfunction of instruments in 2 cases. Different laparoscopic procedures had different proportion of conversion to open surgery.In laparoscopic adrenalectomy 42% of patients converted to open surgery (8/19), 25% in nephrectomy(2/8), 18% in renal cyst excision(11/61), 17% in pelvic lymphadenectomy of prostatic cancer(1/6),3% in varico-celectomy (2/60) and 19% in orchiectomy(2/11). Conclusions Selection of proper indication and laparoscopic approach, improvement of skill and adequate instruments are essential for urologic laparoscopy.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/45249
Appears in Collections:北京大学第一临床医学院_泌尿外科_期刊论文

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作者单位: 100034 北京大学第一医院,北京大学泌尿外科研究所

Recommended Citation:
李昕,那彦群,郝金瑞,等. 泌尿外科腹腔镜手术改行开放手术的原因浅析[J]. 中华泌尿外科杂志,2001,22(5):304-306.
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