[1]肖龙,余闫宏,黄杰,等.单孔和传统腹腔镜肾切除术的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):21-25.[doi:10.3877/cma.j.issn.1674-3253.2017.01.006 ]
　Xiao Long,Yu Yanhong,Huang Jie,et al.Comparison of the clinical data between laparoendoscopic single-site nephrectomy and conventional laparoscopical nephrectomy[J].,2017,11(01):21-25.[doi:10.3877/cma.j.issn.1674-3253.2017.01.006 ]
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单孔和传统腹腔镜肾切除术的比较()
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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:
11
期数:
2017年01期
页码:
21-25
栏目:
临床研究
出版日期:
2017-03-06

文章信息/Info

Title:
Comparison of the clinical data between laparoendoscopic single-site nephrectomy and conventional laparoscopical nephrectomy
作者:
肖龙; 余闫宏; 黄杰; 张科; 姜安超; 肖民辉
650032，昆明理工大学，云南省第一人民医院泌尿外科
Author(s):
Xiao Long;  Yu Yanhong;  Huang Jie;  Zhang Ke;  Jiang Anchao;  Xiao Minhui.
Department of Urology, the First People Hospital of Yunnan Province, Kunming University of Science and Technology, Kunming 650032, China
关键词:
腹腔镜;  单孔;  肾切除术;  比较
DOI:
10.3877/cma.j.issn.1674-3253.2017.01.006
摘要:
目的 对比分析单孔腹腔镜和传统三孔腹腔镜肾切除术的临床资料，以探讨单孔腹腔镜在泌尿外科运用的安全性和有效性。方法 通过回顾性分析15例单孔腹腔镜肾切除术和20例传统腹腔镜肾切除术患者的手术时间、术中失血量、术后肠通气恢复时间、术后留置引流管时间、术后住院天数等临床数据。结果 两组患者在年龄[(53±13)岁 vs (51±11)岁, P=0.773]，体质量指数[(22.1±2.6) kg/m2 vs (22.7±3.3) kg/m2, P=0.535]，性别、病理类型、手术路径、术中失血量[(142±74) ml vs (138±60) ml, P=0.861)]，术后肠通气恢复天数[(2.0±0.7) d vs (2.0±0.6) d, P=1.000]，术后留置引流管天数[(3.5±0.9) d vs (3.2±1.1) d, P=0.453]，术后住院天数[(7.1±2.2) d vs (6.8±1.6) d, P=0.729]等方面无明显区别。单孔组14例患者成功的完成了单孔腹腔镜手术，没有增加额外的Trocar，1例中转为三孔腹腔镜后，完成了手术。但单孔腹腔镜手术时间比传统腹腔镜更长[(231±52) min vs (157±30) min, P<0.01]，无切口感染病例，短期随访没有切口疝，疤痕也较小。结论 单孔腹腔镜肾切术，无论经腰和经腹途径都是安全和有效的。能满足患者对切口美观的要求。但学习曲线及手术时间较长，随着手术技巧的提高和手术器械的改进，或许能有效的解决这个问题。

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备注/Memo

备注/Memo:
基金项目：昆明理工大学基金（kksy201460021）
通讯作者：肖民辉，Email：0871xiaolong@163.com
更新日期/Last Update: 2017-02-20