改良自制水囊在后腹腔镜泌尿外科手术中应用.docVIP

改良自制水囊在后腹腔镜泌尿外科手术中应用【摘要】目的介绍一种安全、实用、快捷建立后腹腔操作空间的方法。方法用无菌手套的中指自制成水囊,以一根5mm直径、10cm长中空金属管,一端固定指套,另一端套上16F红色尿管,可容纳350ml生理盐水,在后腹膜腔镜手术中建立后腹膜空间。结果成功开展了单纯肾切除126例、肾盂,输尿管切开取石112例、肾囊肿去顶减压术103例,肾肿瘤根治术15例 .肾部分切除31例,重复肾输尿管切除术3例,肾盂肿瘤根治术8例,肾盂输尿管成型术11例,肾上腺肿瘤或肾上腺切除术5例共414例后腹腔镜泌尿外科手术。仅一例因手套破裂引起失败,成功率为99.8%。讨论自制水囊安全有效,可建立良好的后腹腔空间,避免了在盲视下穿刺损伤组织器官的危险,为后腹腔镜手术的开展进行提供了的良好基础。 【关键词】改良自制水囊后腹膜空间腹腔镜手术 中国图分类号:R699 文献标识码:A 文章编号:1005-0515(2010)08-047-02 Modified technique to establish the retroperitoneal space with self-made balloon in the urologic surgery. Ao Yongqiong.Xie enhua,Yang shuyi. department of operating room ,the Fifth People’s Hospital of Chengdu,chengdu611130,China corresponding author 【Abstract】ObjectiveTo investigate a safe and quick method of making an retorperitoneal space for laparascopic surgery. MethodSince November 2001,we use the middle-figure of the glove inserting an tube with 5 mm in diameter,10cm in length and an 16F catheter. We used this modified balloon to set up the post-peritoneal space. ResultsWe have successfully developed retroperitoneal surgery for about 414 cases,including 126 cases for nephrectomy ,112 cases for ureterolithotomy,103 cases for unroofing of renal cysts. 15 cases of radical nephrectomy,31 cases for partial nephrectomy,3 cases for duplex kidney and urethra resection,8 cases for renal pelvis cancer ,11 cases for pyeloplasty,5 cases for the adrenal glands tumor or adrenal glands resection.Only one failed for the burst of the glove.The successful rate was 99.8%.ConclusionThe retroperitoneal space provides a safe and stable foundation for the retroperitoneal operations.It is practical and effective. 【Key words】Modified Self-made BallonRrteoperitoneal spaceLaparascopy. 腹腔镜技术在临床上已得到广泛应用,但腹膜后无自然空间,需要人为扩大空间,自制水囊可降低在盲视下穿刺损伤组织器官的危险性。我院自制水囊完成后腹腔镜手术414例,效果满意,现报道如下: 资料与方法 1..临床资料 我院自2001年11月至2009年2月开展肾切除、输尿管切开取石、肾上腺嗜?细胞瘤切除,肾盂成型等414例手术,其中男性278例,女性136例,均采用此法建立后腹膜空 间。 水囊用7.5号手套中指制成,经试验可容纳350ml左右生理盐水。用一根5mm直径、10cm长中空金属管,一端固定指套