【摘要】：目的　分析泌尿外科腹腔鏡手術改行開放手術的原因�！》椒ā� 16 5例泌尿外科腹腔鏡手術患者的臨床資料進行分析 ,其中 2 6例 (16 % )改行開放手術�！〗Y果　 2 6例改行開放手術原因 :未找到病灶 8例 ,氣腹或腹膜后充氣不滿意 5例 ,粘連分離困難 5例 ,出血 4例 ,損傷周圍臟器 2例 ,設備故障 2例。不同疾病改行開放手術的比例分別為腎上腺手術 42 % (8/19) ,腎切除術 2 5 % (2 /8) ,腎囊腫去頂術 18% (11/6 1) ,前列腺癌盆腔淋巴結活檢術 17% (1/6 ) ,精索靜脈結扎術 3% (2 /6 0 ) ,隱睪探查術 19% (2 /11)�！〗Y論　掌握適應證和手術入路、熟練操作技術、改進設備是提高泌尿外科腹腔鏡手術成功率的關鍵
[Abstract]:Objective to analyze the causes of the conversion from laparoscopic surgery to open surgery in urology. Methods the clinical data of 165 patients undergoing laparoscopic surgery in urology were analyzed. Among them, 26 cases (16%) were changed to open operation. Results the causes of 26 cases of open surgery were as follows: no lesion was found in 8 cases, pneumoperitoneum or retroperitoneal aeration was unsatisfactory in 5 cases, adhesion separation was difficult in 5 cases, and hemorrhage was 4 cases. There were 2 cases of organ injury and 2 cases of equipment failure. The proportion of patients undergoing open surgery was 42% (8 / 19) for adrenal surgery, 25% (2 / 8) for nephrectomy, and 18% (11 / 61) for renal cyst removal. Pelvic lymph node biopsy was performed in 17% (1 / 6) of prostate cancer, spermatic vein ligation in 3% (2 / 60), and cryptorchidism exploration in 19% (2 / 11). Improving equipment is the key to improve the success rate of Urological Laparoscopic surgery
【作者單位】： 北京大學第一醫(yī)院!北京大學泌尿外科研究所 100034 北京大學第一醫(yī)院!北京大學泌尿外科研究所 100034 北京大學第一醫(yī)院!北京大學泌尿外科研究所 100034 北京大學第一醫(yī)院!北京大學泌尿外科研究所 100034 北京大學第一醫(yī)院!北京大學泌尿外科研究所 100034 ，

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