电视腹腔镜和后腹腔镜手术在同时治疗多器官病变中的应用 |
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引用本文: | 张波,王禾,袁建林,杨晓剑,刘贺亮,武国军,邵晨,李欣. 电视腹腔镜和后腹腔镜手术在同时治疗多器官病变中的应用[J]. 医学争鸣, 2003, 24(15): 1405-1407 |
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作者姓名: | 张波 王禾 袁建林 杨晓剑 刘贺亮 武国军 邵晨 李欣 |
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作者单位: | 第四军医大学西京医院泌尿外科,陕西,西安,710033 |
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摘 要: | 目的:探讨腹腔和后腹腔镜在治疗多器官病变中的应用价值.方法:腹腔镜和后腹腔镜治疗15(男10,女5)例患有多器官病变的患,年龄31~66(平均41)岁,其中左侧多房性肾囊肿、结石性胆囊炎1例,左肾盂肿瘤、结石性胆囊炎1例,双侧肾上腺皮质增生2例,多囊肾5例,双侧多发性肾囊肿6例.结果:除1例肾囊肿因肾周粘连转开放手术外,其余14例均获成功.术后皮下气肿2例.随访3~15mo,生活质量良好,1例肾囊肿复发.肾盂癌患术后12mo无肿瘤复发.结论:腹腔镜下同时行多脏器手术较开放手术更有显优势,具有损伤小,出血少,术后疼痛轻,并发症少,恢复快和良好的切口外观等优点.
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关 键 词: | 腹腔镜术 泌尿系疾病 胆囊切除术 |
文章编号: | 1000-2790(2003)15-1405-03 |
修稿时间: | 2002-11-16 |
Application of laparoscopy and posterior laparoscopy in treatment simultaneously for multi-organ diseases |
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Abstract: | AIM: To investigate the value of laparoscopy and posterior laparoscopy in the treatment of multi organ diseases. METHODS: Laparoscopic and posterior laparoscopic procedures were performed in 10 male and 5 female patients (31 to 66 years old, mean age 41) with multi organ diseases. Of the 15 cases, 1 case suffered from multilocular cysts of left kidney and lithic cholecystitis, 1 case from tumor of left renal pelvis and lithic cholecystitis, 2 cases from bilateral adrenal cortex hyperplasia, 5 cases from polycystic kidney and 6 from bilateral muitiple cysts of kidney. RESULTS: 14 cases were successful except for one case of polycystic kidney due to extensive adhesion. Subcutaneous emphysema occurred in 2 cases. After 3 to 15 month follow up showed that cyst of kidney relapsed in 1 case and 12 month follow up showed that carcinoma of renal pelvis did not recur. CONCLUSION: Laparoscopy and posterior laparoscopy, with minimal trauma and postoperative discomfort and short hospital stay, are the first choice approach in the treatment of multi organ diseases. |
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Keywords: | peritoneoscopy urinary diseases laparoscopic cholecystectomy |
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