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电视腹腔镜手术在泌尿外科中的应用价值
引用本文:李恭会,李新德,余大敏,芮雪芳,王跃东,袁晓明,张大宏,丁国庆.电视腹腔镜手术在泌尿外科中的应用价值[J].浙江大学学报(医学版),2001,30(2):82-83.
作者姓名:李恭会  李新德  余大敏  芮雪芳  王跃东  袁晓明  张大宏  丁国庆
作者单位:浙江大学医学院附属邵逸夫医院,
摘    要:目的:探讨电视腹腔镜手术在泌尿外科的应用价值。方法:为54例泌尿外科患者施行腹腔镜手术,其中精索静脉曲张16例。肾囊肿30例、腹腔内隐睾2例,肾上腺肿瘤6例,手术同时作胆囊切除术2例,肝囊肿切除术1例,结果:手术成功率98.2%(53/54),1例术中因出血转开放手术;手术并发症发生率1.8%(1/54);术后平均住院日为3.3d;临床疗效满意。结论:泌尿外科腹腔镜手术是一种安全、有效的微创手术,同时可检查,处理腹腔内合并症,值得临床推广应用。腹腔内隐睾、肾上腺肿瘤、肾囊肿是其较好适应症。

关 键 词:泌尿系疾病  电视腹腔镜手术  术式  适应症
文章编号:1008-9292(2001)0 1-0082-02
修稿时间:1999年10月26

Clinical Application and Evaluation of Video Laparoscopic Surgery in Urology
LI Gong hui,LI Xin de,YU Da min,et al..Clinical Application and Evaluation of Video Laparoscopic Surgery in Urology[J].Journal of Zhejiang University(Medical Sciences),2001,30(2):82-83.
Authors:LI Gong hui  LI Xin de  YU Da min  
Abstract:Objective:To assess the value of video laparoscopic surgery in urology.Methods:A total of 54 patients with urological diseases were treated with video laparoscopy,including 16 with varicocele ,30 renal cysts,2 abdominal cryptorchidism and 6 adrenal tumors.Results:Among 54 operations 53 were successful.One patient with adrenal tumor returned to open surgery.The rate of surgical morbidity was 1.8%(1/54).The median post operative stay was 3.3 days.Conclusion:Laparoscopic operation can be recommended to clinicians for treating urological ploblems as a minimal invasive surgery with high safty and good efficiency.Abdominal cryptorchidism,small adrenal tumor and renal cyst are good indications for video laparoscopic operation in urology.
Keywords:Urologic diseases/surg  Laparoscopy
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