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目的:探讨在肾部分切除术中无气腹腹腔镜技术的临床价值。方法:回顾分析2004年1月至2005年12月用无气腹腹腔镜技术行肾部分切除术10例患者的临床资料。结果:10例手术时间130~190m in,术中失血量250~600m l。术后引流管留置2~3d,术后进食时间6~24h,术后住院5~8d,随访1~24个月,手术侧肾脏功能良好,1例为肾癌行保肾手术肿瘤无复发。结论:无气腹腹腔镜肾部分切除术将传统开放手术与腹腔镜技术相结合,学习曲线短,可能成为一种比较理想的肾部分切除的手术方式。
Objective: To investigate the clinical value of pneumoperitoneal laparoscopic technique in partial nephrectomy. Methods: The clinical data of 10 patients who underwent partial nephrectomy by pneumoperitoneal laparoscopy from January 2004 to December 2005 were retrospectively analyzed. Results: The operation time of 10 cases was 130 ~ 190m in and blood loss was 250 ~ 600m l during operation. Postoperative drainage tube indwelling 2 ~ 3d, postoperative eating time 6 ~ 24h, postoperative hospital stay 5 ~ 8d, followed up for 1 ~ 24 months, the operation side of the kidney function well, 1 case of kidney cancer line kidney surgery without recurrence of tumor. Conclusion: The pneumoperitoneal laparoscopic partial nephrectomy combines traditional open surgery with laparoscopic technique and the learning curve is short, which may be an ideal surgical method for partial nephrectomy.