腹腔镜手术在泌尿外科中的应用体会

目的探讨泌尿外科腹腔镜的应用体会。方法对64例患者施行泌尿外科腹腔镜手术,肾囊肿去顶术43例,肾切除术8例,肾部分切除术4例,输尿管切开取石术2例,精索静脉高位结扎4例,肾上腺肿瘤切除术3例。其中48例经后腹腔,16例经腹入路;结果64例手术均获成功,肾囊肿去顶术手术时间30～100min,平均50min,出血约20mL。肾切除术手术时间120～240min,平均191min,平均出血200mL。肾部分切除术手术时间65～120min,平均出血250mL。输尿管上段切开取石术手术时间120min和125min,出血60mL。精索静脉高位结扎术手术时间30～45min,平均出血10mL。肾上腺肿瘤切除术手术时间50～150min,平均出血50mL。所有手术无1例输血。术中术后未出现严重并发症。结论腹腔镜手术是一种安全、微创手术,在泌尿外科具有很好的应用前景。

Application of laparoscopes in uroloic surgery

Objective] To investigate the application of laparoscopy in urology. Methods] A total of 64 cases urologic patients underwent laparoscopic surgery. 43 cases renal cyst excision, 8 cases nephrectomy, 4 cases ureterolithotomy, 4 case varicocele hgation, 3 cases adrenalectomy. 48 cases underwent retroperitoneal laparoscopic surgery, 16 cases underwent laparoscopic surgery. Result] All the operations were successful in 64 cases of patients. The operation time in renal cyst excision was 30-100 minutes, and mean time was 50 minutes and the intraoperative blood loss was about 20 ml. The operation tine in nephrectomy was 120-240 minutes, mean time 191 minutes, and the mean blood loss was 200 mL. The ureterolithotomy was 125 minutes, and blood loss 60mL. The varicocele ligation was 30-45 minutes, and blood loss 10 mL. The adrenalectomy was 50-150 minutes, and blood loss 50 mL. All patients did not receive blood transfusion. All patients did not have complication in operations and posto-perations. Conclusions] Laparoscopic surgery is safe and minimal invasive, which has a good applied future in urologic clinical practice.