拉皮眼切除术在患有水性脏的儿童中的可行性:一项前性研究
Shariq Anis Khan1, Muhammad Ahsan Rehman Khan1, Fouzia Naeem Effendi2
1Urology, The Kidney Centre Postgraduate Training Institute, Karachi, PAK.
Cureus
|November 24, 2025
概括
腹腔透视性切除术是一种安全和可行的方法,用于儿科水性脏,显示低并发症和转化率. 这种微创手术在儿童中提供了良好的结果,即使在解剖学上的挑战.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 外科手术的结果
背景情况:
- 腹腔镜切除术越来越多地在儿科泌尿病学中使用,因为它具有最小的侵入性.
- 儿科水性脏存在挑战,原因是解剖学扭曲和粘附.
- 在这些复杂的病例中,评估腹腔镜切除术的可行性至关重要.
研究的目的:
- 评估腹腔透视切除术的可行性,安全性和结果,用于患有水性,无功能的脏的儿童.
- 确定与转换为开放性手术相关的因素.
- 为提供有关该儿科人口并发症率的数据.
主要方法:
- 对102名儿科患者进行前性观察性研究,这些患者因不起作用的水性脏而接受了腹腔镜切除术.
- 数据收集包括人口统计,手术内和手术后的参数.
- 统计分析涉及描述性统计和千平方测试.
主要成果:
- 在94.1%的病例中, laparoscopic nephrectomy成功完成,转换率为开放手术的比例为5.9%.
- 最常见的病因是盆腔结阻塞 (45.1%) 和石头疾病 (38.2%).
- 转化与盆腔尿路结口阻塞,更长的手术时间和增加的血液损失有关.
结论:
- 腹腔透视性脏切除术是儿科水性脏的可行和安全的外科选择.
- 经验丰富的外科医生可以达到较低的并发症和转化率.
- 这种微创方法在儿科泌尿病例中产生了有利的结果.
更多相关视频
相关概念视频
01:26Kidney Transplant II: Surgical Procedure
290
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
290
01:28Kidney Transplant I: Introduction
312
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
312