泌尿外科腹腔镜手术并发症的临床分析

目的探讨泌尿外科腹腔镜手术并发症临床特点。方法以2010年2月至2013年3月某院泌尿外科收治并行腹腔镜手术患者184例为研究对象,对造气腹时、手中与术后三个阶段并发情况进行统计,对手术结局进行统计。结果 184例手术并发9例并发占4.89%;3例转开放手术占1.63%;2例死亡占1.01%;术中并发3例,其中血管损伤2例,脏器损伤1例,术后并发1例切口感染2例内科并发3例;肾盂癌根治术并发率最高为9.68%,其次为肾上腺肿瘤切除术并发率6.15%。结论术中并发集中在血管损伤与脏器损伤,术后并发集中在切口感染与内科并发,肿瘤类疾病切除、根治并发概率较高。

Clinical Analysis of the Complications of Laparoscopic Operation in Department of Urolog

Objective The study of the urology laparoscopic surgery complications. Methods In February 2010 to March 2010 a hospital uropoiesis surgical department were parallel, 184 cases of laparoscopic surgery patients as the research object, made during pneumoperitoneum, hands and postoperative three stages take statistics of concurrent, statistics on surgical outcomes. Results 184 example and 9 cases of concurrent rate 4.89%; turn 3 cases of open surgery at a rate of 1.63%; 2 cases of death mortality was 1.01%; intraoperative concurrent 3 cases of vascular injury in 2 cases, visceral injury in 1 case, postoperative concurrent 1 case of incision infection in 2 cases of internal concurrent 3 cases; renal pelvis carcinoma radical surgery concurrent rate is as high as 9.68%, followed by adrenal tumor concurrent rate was 6.15%. Conclusion Intraoperative concurrent concentrated in vascular injury and visceral injury, postoperative concurrent concentrated in incision infection and internal concurrency, diseases tumor resection, effect a radical cure concurrent risk is higher.