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目的探讨泌尿外科腹腔镜肾上腺切除术术中并发症的发生原因及防治措施。方法回顾性分析326例腹腔镜肾上腺切除术的临床资料,包括经腹腔入路247例,为A组;经后腹腔入路79例,为B组。结果 A组247例,共出现术中并发症17例,占6.8%,手术初期(前20例)并发症14例。B组79例手术,共出现术中并发症6例,占7.6%,新术式初期(前20例)并发症5例,占25%,其中前5例并发症4例。结论腹腔镜肾上腺切除术并发症的高发期在学习及新术式初期,系统的培训、熟悉并发症的特点、及时的处理可以有效的降低手术并发症的发生。
Objective To investigate the causes and prevention measures of complications during laparoscopic surgery of urology. Methods Retrospective analysis of 326 cases of laparoscopic adrenalectomy clinical data, including 247 cases of transabdominal approach, A group; by retroperitoneal approach in 79 cases, the B group. Results A group of 247 cases, a total of 17 cases of intraoperative complications occurred, accounting for 6.8%, early surgery (20 cases) complications in 14 cases. Sixty-seven cases (7.6%) had complications during operation in group B (n = 5), accounting for 25% of the total. Among them, the top five had complications in 4 cases. Conclusions Laparoscopic adrenalectomy complications in the high incidence of learning and new surgical procedures, systematic training, familiar with the characteristics of complications, timely treatment can effectively reduce the incidence of complications.