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目的 探讨不同后腹膜腔隙扩张法腹腔镜技术在泌尿外科手术中的应用。方法 对 2 0 0 1年至今开展的共 12 0例后腹腔镜泌尿外科手术进行分析 ,本组患者全部采用曲卡直接穿刺法建立通道 ,后腹膜腔分别采用水囊扩张法、观察镜直接分离法或二者联合应用建立后腹膜腔气腹 ,用后腹腔镜技术完成所有病例。结果 除1例因后腹膜腔制备失败中转开放手术外 ,其余 119例手术均获成功 ,手术时间肾囊肿 2 0～ 12 0minutes ,肾上腺4 5～ 14 0minutes ,1例肾切除 2 10minutes ;失血量 2 0～ 10 0ml,平均 5 0ml。结论 熟练操作技术 ,术中灵活采用几种后腹膜腔隙建立法 ,使手术野得以充分暴露是手术成功的关键。本方法是一种微创、安全、出血少、术后恢复快 ,并能成为肾脏和肾上腺疾病的首选方法
Objective To investigate the application of different retroperitoneal laparoscopic laparoscopic techniques in urological surgery. Methods A total of 120 cases of retroperitoneal laparoscopic urological surgery performed in 2001 were analyzed. All the patients in this group were treated by direct card puncture. The posterior peritoneal cavity was treated with water balloon dilatation method and observation mirror respectively Method or a combination of both established after the peritoneal pneumoperitoneum, with laparoscopic technique to complete all cases. Results All the other 119 cases were successful except one case of open peritoneal cavity failure because of the preparation of the retroperitoneal cavity. The operation time was between 20 and 120 minutes for renal cysts, 45 to 140 minutes for adrenal gland, 1 to 10 minutes for nephrectomy, 2 for blood loss 0 ~ 10 0ml, an average of 50ml. Conclusion Skilled operation technique, flexible use of several postoperative peritoneal lacunar surgery establish method, so that surgical field can be fully exposed is the key to successful operation. This method is a minimally invasive, safe, less bleeding, rapid recovery, and can become the preferred method of kidney and adrenal diseases