腹腔镜下单纯性肾囊肿切除术。

Urologiia i nefrologiia Pub Date : 1999-03-01
N A Lopatkin, F B Fidarov, A G Martov
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引用次数: 0

摘要

对27例主诉腰痛和高血压的患者进行腹腔镜下常见肾囊肿解剖。诊断及手术指征主要依靠超声检查及动态肾显像。所有的手术都是在气管麻醉下进行的,在气腹形成后使用三个套管针。手术包括最大限度地剥离游离囊壁,电凝残余部分边缘和腹膜后引流。92.6%的病例术后平安无事。术后3、6个月对照检查,疼痛缓解,动脉压稳定,肾功能改善,效果良好。
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[Laparoscopic resection of a simple renal cyst].

Laparoscopic dissection of common renal cysts was made in 27 patients who complained of low back pains and hypertension. The diagnosis and indications for operation rested on ultrasonic investigation and dynamic nephroscintigraphy. All the surgical interventions were performed under endotracheal anesthesia after creation of pneumoperitoneum with the use of three trochars. The procedure comprised maximal dissection of the free cystic wall, electrocoagulation of the residual part's margins and retroperitoneal drainage. Postoperative period was uneventful in 92.6% of the cases. Control examination 3 and 6 months after the operation indicated good results: pain relief, stabilization of arterial pressure and improvement of renal function.

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