[1]万颂,狄金明,习明,等.直视一步法建立观察镜通道在经腹腹腔镜肾上腺切除术中的应用[J].中华腔镜泌尿外科杂志(电子版),2018,12(03):159-163.[doi:10.3877/cma.j.issn.1674-3253.2018.03.004 ]
 Wan Song,Di Jinming,Xi Ming,et al.Application of one-step trocar insertion visibility for observation port establishment in transperitoneal laparoscopic adrenalectomy[J].,2018,12(03):159-163.[doi:10.3877/cma.j.issn.1674-3253.2018.03.004 ]
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直视一步法建立观察镜通道在经腹腹腔镜肾上腺切除术中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
12卷
期数:
2018年03期
页码:
159-163
栏目:
临床研究
出版日期:
2018-06-20

文章信息/Info

Title:
Application of one-step trocar insertion visibility for observation port establishment in transperitoneal laparoscopic adrenalectomy
作者:
万颂1狄金明2习明1周宇林1曾昭昌1万跃平1
510800 广州市花都区人民医院泌尿外科1;510630 中山大学附属第三医院泌尿外科2
Author(s):
Wan Song1 Di Jinming2 Xi Ming1 Zhou Yulin1 Zeng Zhaochang1 Wan Yueping1.
1Department of Urology, Guangzhou Huadu People's Hospital, Guangzhou 510800, China; 2Department of Urology, the Third Affiliated Hospital of Sun-Yat-sen University, Guangzhou 510630, China
关键词:
腹腔镜肾上腺切除术直视
DOI:
10.3877/cma.j.issn.1674-3253.2018.03.004
摘要:
目的探讨直视一步法建立观察镜通道在经腹途径腹腔镜肾上腺切除术中的应用。方法回顾性分析 2015年 4月至 2017年 12月间 26例经腹途径腹腔镜肾上腺切除术的病例资料。根据曲卡置入方法分为两组:观察组 13例,均采用可视套管在腹腔镜直视下一步法穿刺进入腹腔建立腹腔镜手术通道;对照组 13例,采用常规的开放切开法(Hasson法)建立腹腔镜手术操作通道,后续的肾上腺切除方法相同。观察指标包括曲卡置入时间、肾上腺切除时间、手术总时间、术中出血量、术后禁食时间、术后引流管留置时间及术后住院时间等。比较分析直视一步法与常规开放法建立观察镜通道的时间及其对手术结果指标的影响。结果两组手术均成功施行,无一例中转开放手术。观察组的曲卡置入时间、手术总时间明显少于对照组,而肾上腺切除时间、术中出血量、术后禁食时间、引流管留置时间及术后住院天数等差异均无统计学意义。结论直视一步法建立观察镜通道在经腹途径腹腔镜肾上腺切除术中安全、有效,可明显减少曲卡置入时间及总体手术时间,提高手术安全性。

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备注/Memo

备注/Memo:
通讯作者:狄金明,Email: 746379204@qq.com
更新日期/Last Update: 2018-06-20