拉巴洛斯科比方法用于色球质炎炎和 pyonephrosis 的 pyonephrosis
T Telecan1, I Andras1, N Crousen2
1Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania.
Actas urologicas espanolas
|March 31, 2024
概括
腹腔镜整体切除术用于施花球性发炎 (XGPN) 和发炎是具有挑战性的,但可行的. 大多数并发症可以通过腹腔镜进行管理,但它需要经验丰富的外科医生和专门的中心.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 桑托格兰瘤性炎 (XGPN) 是一种罕见的慢性炎,由于尿路阻塞.
- 松症是急性阻塞性松炎的严重并发症.
- 微创手术具有优势,但脏剖析可能具有挑战性.
研究的目的:
- 评估 XGPN 和 pyonephrosis 的腹腔镜全切除术的可行性和结果.
- 在这些复杂的病例中分析与腹腔镜方法相关的并发症和手术挑战.
主要方法:
- 一项对27名患者的回顾性评估,这些患者在2016年10月至2022年3月期间接受了XGPN或pyonephrosis的腹腔镜全切除术.
- 在所有手术中都使用了Karl Storz 3D腹腔镜系统.
- 对于XGPN而言,是通过腹膜外的方法,对于肌,则是通过腹膜外的方法,所有手术都是由一名外科医生进行或监督的.
主要成果:
- 平均手术时间为269.85分钟,平均血红蛋白下降1.41g/dL.
- 在48.14%的病例中出现了难以解剖的情况,9/13例是体内完成的,4例需要转换为开放手术.
- 并发症包括一个IVC撕裂,两个结肠,一个腹突破,以及6例多器官切除.
结论:
- 对于XGPN和肌瘤而言,全切除术是一种复杂的外科手术.
- 腹腔镜的方法是可行的,大多数并发症是通过体内治疗来管理的.
- 这种手术应该保留给经验丰富的手术团队的大批量中心.
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