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目的探讨微创内视镜手术在泌尿外科应用的临床价值。方法利用可取出手术切除标本的切口置入腹腔镜在直视或监视器下进行操作的微创内视镜手术治疗泌尿外科疾病236例包括肾癌146例,肾上腺肿瘤73例,肾下极囊肿17例。结果 236例手术均获得成功,肾癌组手术时间50～135 min,术中失血量30～220 ml。肾上腺肿瘤组手术时间40～100 min,术中失血量30～100 ml。肾囊肿组手术时间10～15 min,无失血。全部病例术后引流管留置2～3 d,住院5～7 d,随访0.5～6年均健在无异常。结论微创内视镜手术是治疗肾癌、肾上腺肿瘤、肾下极囊肿的微创手术方法。
Objective To investigate the clinical value of minimally invasive endoscopic surgery in urology. Methods 236 cases of urologic diseases including 146 cases of renal cancer, 73 cases of adrenal tumor, subanimal pole cyst were treated with minimally invasive endoscopic surgery under direct vision or under the monitor. 17 cases. Results All the 236 cases were successful. The operation time of renal cell carcinoma group was 50 ~ 135 min and blood loss was 30 ~ 220 ml. Adrenal tumor surgery time 40 ~ 100 min, intraoperative blood loss 30 ~ 100 ml. Renal cyst group operation time 10 ~ 15 min, no blood loss. All cases of postoperative drainage tube indwelling 2 to 3 days, hospitalized 5 to 7 days, followed up 0.5 to 6 years were healthy without exception. Conclusion Minimally invasive endoscopic surgery is a minimally invasive surgical method for the treatment of renal cancer, adrenal tumors and subrenal cysts.