【摘要】 目的:探讨手助腹腔镜肾切除术的方法和临床应用价值。方法:为30例患者施行手助腹腔镜肾切除术,其中根治性肾切除术20例,单纯性肾切除术3例,肾输尿管全长切除膀胱袖套状切除术4例,活体供肾切除术3例。结果:30例手助腹腔镜肾切除手术均获成功。手术时间80~260m in,平均162m in;术中出血30~200m l,平均96m l。结论:手助腹腔镜手术不仅具有常规腹腔镜手术创伤小、患者康复快等优点,且操作相对简单,易掌握,安全性较高,适合于泌尿系大器官、复杂手术。更多还原

【Abstract】 Objective:To evaluate the effect and clinical application of hand-assisted laparoscopic nephrectomy.Methods:Thirty patients underwent hand-assisted laparoscopic nephrectomy:radical nephrectomy was performed in 20 cases,simple nephrectomy in 3 cases,nephroureterectomy in 4 cases,and donor nephrectomy in 3 cases.Results:Hand-assisted laparoscopic nephrectomy were performed successfully on all patients.The mean operation time was 162 minutes(80-260min),and the mean blood loss was 96 ml(30-200ml).Conclusions:Hand-assisted laparoscopic nephrectomy is not only less traumatic but also less postoperative discomfort and quick recovery.High safety and easy manipulation in such cases are main advantages.So hand-assisted laparoscopic surgery is preferred in urological big organs and some complicated operations.更多还原