手助腹腔镜肾脏手术临床分析

目的 探讨手助腹腔镜肾脏手术的方法和临床应用价值。方法 从2001年8月至2003年11月,我们对45例泌尿外科患者施行手助腹腔镜肾脏手术。其中根治性肾切除术23例,单纯性肾切除术9例,肾输尿管全长切除膀胱袖套状切除术8例,肾囊肿切除术3例,部分性肾切除术1例,重复肾副肾切除术1例。其中有7例是经腹膜后途径完成,其余均为经腹腔途径。结果 45例手助腹腔镜肾脏手术均获成功。手术时间40～300min,平均154．7min;术中出血15～300ml,平均100.4ml。结论 手助腹腔镜肾脏手术具有损伤小,出血少,术后恢复快等优点,值得临床推广应用。

Hand-assisted laparoscopic renal surgery: report of 45 cases

Objective To evaluate the effect and clinical application of hand-assisted laparoscopic renal surgery. Methods Forty-five patients with urologic diseases underwent hand-assisted laparoscopic renal surgery: radical nephrectomy was performed on 23 cases, simple nephrectomy on 9 cases., nephroureterectomy on 8 cases, excision of cysts of kidney on 3 cases, partial nephrectomy on 1 case, and upper pole heminephrectomy in duplex kidney on 1 case. The operation was performed by transperitoneal approach in 38 cases and by underwent and by retroperitoneal approach in 7 cases. Results Hand-assisted laparoscopic renal surgery were performed successfully on all patients. The mean operation time was 154.7 minutes (40~300 min), and the mean estimated blood loss was 100.4 ml (15~300 ml). Conclusion~With the advantages of minimal invasion, less blood loss, faster recovery, hand-assisted laparoscopic renal surgery is worth popularizing in urologic clinical practice.