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目的探讨手助腹腔镜根治性肾肿瘤切除术的临床应用价值。方法采用手助腹腔镜行根治性肾肿瘤切除术36例。结果36例手助腹腔镜手术全部成功,手术时间65～220min,平均105min;术中出血20～200mL,平均85mL;术后住院5￣11d。结论手助腹腔镜根治性肾肿瘤切除术不仅具有常规腹腔镜创伤小、失血少、恢复快的优点,更具有传统开放手术安全、彻底、手术时间短的优点,是根治性肾肿瘤切除术可选择的新的手术方式。
Objective To investigate the clinical value of hand-assisted laparoscopic radical nephrectomy. Methods Hand-assisted laparoscopic radical nephrectomy in 36 cases. Results Thirty-six cases of hand-assisted laparoscopic surgery were successfully performed. The operation time ranged from 65 to 220 minutes, with an average of 105 minutes. The intraoperative blood loss was 20 to 200 mL with an average of 85 mL. The postoperative hospital stay was 5 to 11 days. Conclusion Hand-assisted laparoscopic radical nephrectomy not only has the advantages of less laparoscopic trauma, less blood loss and faster recovery, but also has the advantages of safe and thorough traditional open surgery and short operative time. It is a radical nephrectomy Choose a new surgical approach.