摘要
目的 探讨采用个体化腹腔镜多器官联合手术方案的可行性和临床应用价值。方法 自2008年5月-2013年10月,实施腹腔镜下多器官多种疾病同期治疗手术138例患者,其中115例为胆囊结石合并其他疾病,其中胆囊结石合并肝囊肿19例,合并胆总管结石5例,合并肠粘连18例,合并急慢性阑尾炎27例,合并脾大2例,合并肾囊肿9例,合并精索静脉曲张12例,合并无功能肾2例,合并输尿管上段结石4例,合并附件单纯性囊肿17例,急慢性阑尾炎合并附件单纯性囊肿8例,急慢性阑尾炎合并肠粘连15例。结果 所有手术均顺利实施,无术中转开腹手术,无术中并发症,手术时间：55～130 min,平均75 min;术中出血量10～100 ml,术后随访3～48个月,除28例患者失访外,余患者均未出现与手术相关并发症。结论 针对患者多器官病变的特点,科学设计个体化的腹腔镜下脏器联合手术是安全可行的。
[ Objective ] To investigate the feasibility and clinica｜ value of the combined laparoscopic surgery designed individually. [Methods] The clinical data of 138 cases of combined procedures in laparoseopic surgery from May 2005 to October 2013 were analyzed retrospectively. [Results] All operations were successfully implemented. No case was converted to open surgery, with no complications during surgery and postoperative. The majority of the patients were followed up for 12 months. No complication associated with surgery was detected. [ Conclusion ] As to the characteristics of patients with multi-organ disease, the combined laparoscopic surgery designed individually is safe and feasible.
出处
《中国内镜杂志》
北大核心
2015年第5期536-539,共4页
China Journal of Endoscopy
基金
新疆兵团卫生科技攻关计划(No:2011BA049)
