| 腹腔镜与开放肾切除术的对比研究 |
| |
| 引用本文： | 敖平,徐忠华,闫磊,周尊林,范医东,刘照旭,郑宝钟.腹腔镜与开放肾切除术的对比研究[J].腹腔镜外科杂志,2009,14(2). |
| |
| 作者姓名： | 敖平 徐忠华 闫磊 周尊林 范医东 刘照旭 郑宝钟 |
| |
| 作者单位： | 1. 皖南医学院弋矶山医院,安徽,皖南,241000
2. 山东大学齐鲁医院 |
| |
| 摘 要： | 目的:探讨非肿瘤性无功能肾患者行腹腔镜肾切除术的可行性,并与开放手术进行对比研究。方法:1997年8月至2007年10月我们为85例患者行单纯性肾切除术,其中腹腔镜手术32例(23例经侧腹腔途径,9例经腹膜后途经),开放性手术53例。比较两种方法的手术时间,出血量,术后引流量、胃肠功能恢复时间、下床活动时间、住院天数,住院总费用及止痛药的应用等指标。结果:85例手术均获成功,无术中及术后严重并发症发生。腹腔镜手术组无中转开放者。腹腔镜手术组术中出血量,术后胃肠功能恢复时间、引流量、下床活动时间、住院天数及止痛药应用等指标均低于开放手术组(P<0.05),手术时间及住院总费用则高于开放手术组(P<0.05)。结论:与开放手术相比,腹腔镜单纯性肾切除术具有患者出血少、创伤轻、康复快等优点,适于多种非肿瘤性无功能肾的切除。随着术者经验的积累、操作技术水平的提高以及腹腔镜技术的发展,腹腔镜手术的操作时间及患者的住院费用可接近开放手术。
|
| 关 键 词： | 肾疾病 肾切除术 腹腔镜术 |
A comparative study of laparoscopic and open nephrectomy |
| |
| AO Ping,XU Zhong-hua,YAN Lei,et al..A comparative study of laparoscopic and open nephrectomy[J].Journal of Laparoscopic Surgery,2009,14(2). |
| |
| Authors: | AO Ping XU Zhong-hua YAN Lei |
| |
| Institution: | AO Ping1,XU Zhong-hua2,YAN Lei2,et al.1.Yijishan Hospital of Wannan Medical College,Wannan 241000,China,2.The Qilu Hospital of Sh,ong University |
| |
| Abstract: | Objective:To investigate the feasibility of laparoscopic nephrectomy for benign nonfunctioning kidneys by comparing the clinical outcomes versus open surgery.Methods:Eighty-five cases underwent simple nephrectomy from August 1997 to October 2007 in our hospital.Laparoscopic simple nephrectomy(LSN)was performed for 32 cases(23 lateralperitoneal approach and 9 retroperitoneal approach,and 53 cases of benign nonfunctioning kidneys underwent open nephrectomy during the same period.Clinical data including the op... |
| |
| Keywords: | Kidney diseases Nephrectomy Laparoscopy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
