[1]徐可,夏国伟,孙传玉,等.泌尿外科后腹腔镜手术并发症分析[J].中华腔镜泌尿外科杂志(电子版),2008,(01):36-40.
　XU Ke,XIA Guo-wei,SUN Chuan-yu,et al.Analysis of retroperitoneoscopic complications in urology[J].,2008,(01):36-40.
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泌尿外科后腹腔镜手术并发症分析()
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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:
期数:
2008年01期
页码:
36-40
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Analysis of retroperitoneoscopic complications in urology
作者:
徐可; 夏国伟; 孙传玉; 陆勇; 付伟金; 顾斌; 丁强
上海市乌鲁木齐中路12号复旦大学附属华山医院泌尿外科,200040
Author(s):
XU Ke; XIA Guo-wei; SUN Chuan-yu; LU Yong; FU Wei-jin; GU Bin; DING Qiang
关键词:
后腹腔镜; 泌尿系统疾病; 并发症
摘要:
目的 分析泌尿外科后腹腔镜手术并发症的原因以及防治对策.方法 2004年4月至2007年12月间共施行784例后腹腔镜手术,对术中术后并发症的原因进行分析.结果 784例后腹腔镜手术共出现各种并发症61例(7.78%),术中并发症45例,其中血管损伤8例,分别为下腔静脉损伤1例、肾动脉损伤1例,均于腹腔镜下直接缝合止血;腹壁下血管损伤6例,压迫止血处理.胸膜损伤1例,中转为开放手术.腹膜损伤26例,均于术中钛夹夹闭.输尿管损伤3例,其中2例中转开放手术,1例术后2 d手术探查发现穿孔并予以修补.肾实质损伤2例,缝合止血处理.严重的高碳酸血症5例,经过度换气、降低气腹压力并予对症处理后缓解.术后并发症16例,包括皮下气肿9例,均于术后约1周白行吸收;切口积液感染7例,均治愈,经引流等对症处理后痊愈.结论 通过系统培训,了解后腹腔镜手术并发症特点,熟悉后腹腔镜下解剖关系,总结经验可以减少并发症的发生.

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更新日期/Last Update: 1900-01-01