[1]仲冰,姜熙.改良后腹腔镜(SAFE术式)重复肾输尿管切除术的疗效分析[J].徐州医科大学学报,2020,40(07):517-520.
 Modified laparoscopic SAFE operation for the renal ureter with duplicationa report of 7 cases ZHONG Bing, WANG Heng-bing, NIU Xiao-bing, FU Guang-boJIANG Xi*[J].Journal of Xuzhou Medical University,2020,40(07):517-520.
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改良后腹腔镜(SAFE术式)重复肾输尿管切除术的疗效分析()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
40
期数:
2020年07期
页码:
517-520
栏目:
出版日期:
2020-07-30

文章信息/Info

Title:
Modified laparoscopic SAFE operation for the renal ureter with duplicationa report of 7 cases ZHONG Bing, WANG Heng-bing, NIU Xiao-bing, FU Guang-boJIANG Xi*
作者:
仲冰姜熙
文献标志码:
A
摘要:
目的 探讨改良后腹腔镜 (SAFE术式)重复肾输尿管切除术的治疗效果、手术技巧以及医师疲劳程度。方法 分析 2015年3月到2019年12月7例SAFE术式重复肾输尿管切除术的患者临床资料,分析手术时间、术中出血量、术后肠道恢复时间及残余肾脏功能等相关指标,并用疲劳指数量表评价医师疲劳程度。结果 7例患者手术都成功,无严重并发症,手术时间115~175min;术中出血量40~120ml;术后肠道功能恢复时间1~3d; 手术医生操作疲劳中低度,术后随访1~18个月,残肾功能良好。结论 SAFE术式重复肾输尿管切除术安全有效,患者创伤小、恢复快 ,手术医生操作体位舒适,疲劳程度低。
Abstract:
ob<x>jective To investigate the efficacy, technique and physician fatigue index of retroperitoneal laparoscopic double nephrectomy and ureterectomy with modified SAFE operation. Methods The clinical data of 7 patients undergoing retroipsilateral laparoscopic SAFE operation resection of renal ureterectomy were retrospectively analyzed, and the operative time, intraoperative blood loss, postoperative intestinal recovery time, residual renal function and other relevant indicators were summarized and analyzed. In addition, the surgeon fatigue degree was evaluated by the fatigue index. Results All the 7 patients w ere successfully operated without serious complications. The operation time ranged from 115 to 175 mins. Intraoperative blood loss ranged from 40 to 120 ml. Postoperative recovery time of intestinal function was 1-3d. The average surgeon fatigue degree ranged from low to intermediate. The residual renal function was good after 1-18 months follow-up. Conclusion The modified SAFE operation for retroperitoneal laparoscopic resection of repeated renal ureterectomy is safe and effective, with less trauma and faster recovery. For surgeons, it also brought about more comfort and less fatigue in operation
更新日期/Last Update: 2020-07-29