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[目的]探讨45°斜侧卧位在腹腔镜肾盂癌根治术中的临床应用价值。[方法]回顾性分析本院泌外科采用45°斜侧卧位腹腔镜下肾盂癌根治术46例的临床资料。[结果]46例手术均顺利完成,手术时间90min~150min,术中出血量50mL~100mL,术后无并发症发生,46例病人术后4d~8d均康复出院。[结论]45°斜侧卧位下行腹腔镜肾盂癌根治术与传统的先90°侧卧位再更换为平卧位的体位相比较,具有安全、舒适、手术时间短、并发症少、节省人力和物力等优点。
[Objective] To investigate the clinical value of 45 ° oblique lateral position in laparoscopic radical nephroureterectomy. [Methods] The clinical data of 46 cases of laparoscopic radical nephroureterectomy with 45 ° oblique lateral lying position in our hospital were retrospectively analyzed. [Results] All the 46 cases were successfully performed. The operation time was 90 min ~ 150 min. The blood loss was 50 mL ~ 100 mL. No postoperative complications occurred. All the 46 patients were recovered and discharged from 4 days to 8 days after operation. [Conclusions] Compared with the traditional position of the first 90 ° lateral recumbent supine position, the 45 ° oblique lateral laparoscopic radical nephroureterectomy is safer and more comfortable with less operation time and less complications, saving Manpower and material resources and other advantages.