简介:2007年1月~2007年10月我院应用自制腹腔镜刀完成12例后腹腔镜输尿管切开取石术中输尿管切开,现报道如下。
简介:目的:探讨腹腔镜胆囊切除术中腹腔镜探查的价值。方法研究近3年来本院进行的521例腹腔镜胆囊切除术病例,在术中均进行详细的腹腔镜探查,并对结果进行统计分析。结果除胆囊本身病变外,探查出腹腔内其他病患79例,探查阳性率为15.16%。其中男性阳性率为10.68%(22/206);女性患者探查阳性率为18.10%(57/315)。男女探查阳性率有统计学差异(χ2=5.324,P〈0.05)。将所有患者按年龄分组,39岁以下探查阳性率为7.14%(7/98),40~59岁年龄组的患病率为16.23%(37/228),60岁以上年龄组患病率为17.95%(35/195),39岁以下年龄组患病率与其他两组统计学意义(χ2值分别为4.846和6.202,P〈0.05)。结论腹腔镜胆囊切除术中仔细的探查十分必要。且女性患者探查阳性率大于男性患者,40岁以上患者探查阳性率大于39岁以下患者。
简介:目的研究腹腔镜胆囊切除(LC)联合经腹腔腹膜前腹腔镜疝修补术(TAPP)的临床疗效。方法回顾性分析2003至2007年我们采用腹腔镜胆囊切除联合经腹腔腹膜前腹腔镜修补腹股沟疝11例临床资料,其中LC联合腹股沟单侧斜疝TAPP修补5例,LC联合腹股沟双侧斜疝TAPP修补2例,LC联合腹股沟单侧斜疝、同侧隐性直疝TAPP修补2例,LC联合腹腔镜左侧腹股沟斜疝TAPP修补、腹腔镜阑尾切除2例,观察联合手术临床疗效。结果LC联合TAPP平均手术时间为(85±35)min,术后出现尿潴留3例、无疼痛、皮下血肿、阴囊积血,术后住院平均时间2.5(2—3)d,随访2~32个月无1例复发。结论LC联合TAPP术技术新颖、损伤小、手术时间短、痛苦小、恢复快、临床可行。
简介:摘要目的比较机器人辅助腹腔镜下输尿管再植术(robot-assisted laparoscopic ureteral reimplantation,RALUR)与传统腹腔镜下输尿管再植术(laparoscopic ureteral reimplantation,LUR)在治疗婴幼儿原发性梗阻性巨输尿管(primary obstructive megaureter,POM)的应用效果。方法收集2020年1月至2021年4月应用RALUR和LUR治疗POM的18例患儿资料。其中,男11例,女7例;手术年龄范围为0~36个月。将接受RALUR的10例患儿作为RALUR组,中位年龄为9个月,年龄范围为4~35个月;患侧为左侧6例,右侧4例。将接受LUR的8例患儿作为LUR组,中位年龄为10个月,年龄范围为5~25个月;患侧为左侧6例,右侧2例。结果所有手术均顺利完成,无中转开放。RALUR组的手术时间为(149.0±18.9)min,LUR组为(194.4±45.0)min,差异具有统计学意义(P=0.01);RALUR组住院费用为(73 807.0±7 342.2)元,LUR组为(23 126.7±4 497.1)元,差异具有统计学意义(P<0.001);RALUR组的术后拔引流管时间为(4.2±1.7)d,LUR组为(4.8±2.5)d,差异无统计学意义(P=0.59);RALUR组的术后住院时间为(9.0±2.5)d,LUR组为(9.6±1.6)d,差异无统计学意义(P=0.54)。18例患儿术后随访时间范围为3~19个月,RALUR组及LUR组各有2例因尿路感染行抗感染治疗,术后3个月复查排泄性膀胱造影均未见明显反流,术后均无需再次住院治疗的短期并发症发生。结论运用RALUR和LUR治疗婴幼儿POM均安全、有效且恢复迅速。RALUR的手术时间更短,是一种可行的手术选择。
简介: 【摘 要】目的:探究腹腔镜联合消化内镜治疗胃肠道肿瘤与单纯腹腔镜的治疗效果。方法:于 2018年 4月~ 2020年 4月期间,随机抽取在我院接受治疗的 120例胃肠道肿瘤患者作为观察对象,对患者进行分组处理,入院号单号者为观察组( 60例),采取腹腔镜联合消化内镜治疗;入院号双号者为对照组( 60例),采取单纯腹腔镜治疗。分别观察两组患者的治疗效果、手术情况以及患者治疗后的不良反应发生情况。结果:观察组患者的治疗总有效率为 96.7%,显著高于对照组的 80.0%,两组比较具有统计学意义( =8.0863; P<0.05);观察组患者手术时间和住院时间更短、术中出血量也更少,各指标进行比较的差异具有统计学意义( P<0.05);同时,观察组患者中,出现恶心、腹痛等不良反应的有 3例,占 5.0%,对照组中有 18例患者出现了上述不良反应,两组患者的不良反应发生率比较具有统计学意义( =12.9870; P<0.05)。结论:腹腔镜联合消化内镜治疗胃肠道肿瘤的效果较好,治疗的有效率高,随访观察中患者出现不良反应的发生率也较低,治疗的有效性和安全性高,手术进展的情况也更加顺利,缩短了手术时间和住院时间,临床应用的安全性和可行性高,值得进行推广。 【关键词】腹腔镜;消化内镜;胃肠道肿瘤;治疗效果 [Abstract] Objective: To explore the effect of laparoscopy combined with digestive endoscopy in the treatment of gastrointestinal tumors and laparoscopy alone. Methods: from April 2018 to April 2020, 120 cases of gastrointestinal cancer patients in our hospital were randomly selected as the observation objects, and the patients were divided into two groups: the observation group (60 cases) with admission number and odd number was treated by laparoscopy combined with digestive endoscopy; the patients with double admission number were the control group (60 cases), and were treated with simple laparoscopy. The treatment effect, operation and adverse reactions of the two groups were observed respectively. Results: the total effective rate of the observation group was 96.7%, which was significantly higher than 80.0% of the control group, the comparison between the two groups was statistically significant (= 8.0863; P < 0.05); the operation time and hospitalization time of the observation group were shorter, and the intraoperative blood loss was also less, the difference of each index was statistically significant (P < 0.05); at the same time, in the observation group, nausea, abdominal pain, etc There were 3 cases of good reaction, accounting for 5.0%, 18 cases of patients in the control group had the above adverse reactions, the incidence of adverse reactions between the two groups was statistically significant (= 12.9870; P < 0.05). Conclusion: the effect of laparoscopy combined with digestive endoscopy in the treatment of gastrointestinal cancer is good, the effective rate of treatment is high, the incidence of adverse reactions in patients with follow-up observation is also low, the treatment is effective and safe, the operation progress is more smooth, shorten the operation time and hospital stay, the clinical application of safety and feasibility is high, it is worth promoting.