| 腹腔镜技术在泌尿外科中的应用 |
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| 引用本文： | 徐丹枫,崔心刚,任吉忠,姚亚成,刘玉杉,高轶,车建平,滕怀宁,阴雷,陈明,李尧,王军凯,陈杰,陈露,闵志廉.腹腔镜技术在泌尿外科中的应用[J].上海医学,2010,33(3). |
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| 作者姓名： | 徐丹枫 崔心刚 任吉忠 姚亚成 刘玉杉 高轶 车建平 滕怀宁 阴雷 陈明 李尧 王军凯 陈杰 陈露 闵志廉 |
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| 作者单位： | 第二军医大学附属长征医院泌尿外科,上海,200003 |
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| 摘 要： | 目的 总结第二军医大学附属长征医院采用腹腔镜技术处理泌尿外科疾患十余年2 000例患者的经验.方法 1999年1月-2009年9月,采用腹腔镜技术治疗泌尿系疾病患者2 000例,手术均采用全身麻醉,采用后腹腔入路1 821例,经腹腔入路179例;传统腹腔镜手术1 949例(包括器官毁损、切除术1 582例和器官保留、修复、重建术387例),单通道腹腔镜手术31例.结果 手术一次成功率为96.7%(1 934/2 000),手术时间为35～480 min,平均手术时间为(135±48)min出血量为10～3 500 mL,平均出血量为(40±25)mL,需要输血的病例为138例,占全部病例的6.9%;平均住院时间为(8.1±4.6)d,随访3～120个月.合并症发生率为5.5%(110/2 000),主要并发症为术中出血(2.6%,52/2 000)、高碳酸血症(1.5%,29/2 000)、切口感染(0.6%,12/2 000)、后腹腔脓肿(0.2%,4/2 000)及术后出血(0.45%,9/2 000)等.结论 传统腹腔镜手术技术已日益成熟,涉及泌尿外科的各种术式,可以达到满意的效果.单通道腹腔镜手术的切口更小,更美观,尽管操作难度较高,仍具有很大的推广应用价值.
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| 关 键 词： | 腹腔镜 泌尿外科 应用 |
Application of laparoscopic technique in urology:a 10-year experience with 2,000 cases |
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| XU Danfeng,CUI Xingang,REN Jizhong,YAO Yocheng,LIU Yushan,GAO Yi,CHE Jianping,TENG Huaining,YIN Lei,CHEN Ming,LI Yao,WANG Junkai,CHEN Jie,CHEN Lu,MIN Zhilian.Application of laparoscopic technique in urology:a 10-year experience with 2,000 cases[J].Shanghai Medical Journal,2010,33(3). |
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| Authors: | XU Danfeng CUI Xingang REN Jizhong YAO Yocheng LIU Yushan GAO Yi CHE Jianping TENG Huaining YIN Lei CHEN Ming LI Yao WANG Junkai CHEN Jie CHEN Lu MIN Zhilian |
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| Institution: | XU Danfeng,CUI Xingang,REN Jizhong,YAO Yacheng,LIU Yushan,GAO Yi,CHE Jianping,TENG Huaining,YIN Lei,CHEN Ming,LI Yao,WANG Junkai,CHEN Jie,CHEN Lu,MIN Zhilian. Department of Urology,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China |
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| Abstract: | Objective To summarize our 10-year experience ( about 2,000 cases) in using laparoscopic techniques for treatment of urological disorders in our center. Methods From Jan. 1999 to Sep. 2009, a total of 2,000 patients received laparoscopic surgery for urological disorders in our department under general anesthesia, with 1,821 via the retroperitoneal approach and 179 via transabdominal approach. Totally 1,949 cases received traditional laparoscopic surgery (including 1,582 cases with organ damage, resection an... |
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| Keywords: | Laparoscopy Urology Application |
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