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进行肾切除手术

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Methods 25 patients with upper tract transitional cell carcinoma underwent resection under Laparoscope and cystoscope. Integrity and the detent of ureterostoma was detected after the operation.

对25例肾盂肿瘤或中上段输尿管肿瘤的患者采取腹腔镜联合膀胱镜行肾、输尿管全长切除,术后检查手术标本的完整性,并行输尿管内压力测定,对输尿管口的封闭性进行评估。

From April 2000 to June 2002, 512 cases of laparoscopical urologic operation have been performed through transperitoneal and retroperitoneal or extraperitoneal approach: 41 cases of nephrectomy, 36 cases of radical nephrectomy, 10 cases of nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff, 3 cases of partial nephrectomy, 78 cases of partial adrenalectomy or resection of adenomas, 71 cases of total adrenalectomy, 17 cases of ureterolithotomy, 122 cases of decortication of renal cyst, 1 case of Anderson-Hynes dismembered pyeloplasty, 7 cases of renal pedical lymphatics disconnection, 2 cases of relative living donor nephrectomy.

本课题通过对223例肾疾病、149例肾上腺疾病、17例输尿管结石病人进行腹腔镜及后腹腔镜手术,其中肾囊肿去顶术140例、单纯肾切除术41例、根治性肾切除术36例、肾输尿管全切及输尿管口膀胱袖套状切除术10例、后腹腔镜肾部分切除术3例、Anderson-Hynes肾盂成形术1例、肾蒂淋巴管离断术7例、腹腔镜和后腹腔镜活体亲属供肾切取术各1例、肾上腺部分或单纯肿瘤切除术78例、肾上腺全部切除术71例、输尿管切开取石术17例。记录手术时间、手术中失血量、肠道功能恢复时间及并发症,将结果与传统开放手术和国外学者的腹腔镜手术结果进行比较,对数据进行统计分析。

Surgical procedures included eight proximal pancreatectomies, three total pancreatectomies, nine distal pancreatectomies, and three tumor enucleations from the pancreatic head. Three patients had superior mesenteric vein reconstruction, six had liver resection, one had an extended periaortic node dissection, 11 had splenectomy, and one had left nephrectomy.

手术的过程包括8个近端的胰脏切除,三个全胰脏切除,九个末梢的胰脏切除,和三个进行肿瘤切除,三个患者有较佳的中肠静脉重建术,六名进行肝脏再切除,一名患者有广泛的进大主动脉节切除,1人进行脾脏切除,一名患者进行左肾切除术。

Results: the numbers of leucocyte and haematoblast in patients after the therapeutics both rose. the data of 21 cases were in the normal range. operation exploration was successfully made in 24 cases. liver was partly exscinded in 18 cases. liver in combination spleen was exscinded in 15 cases.

结果:介入后肝功能白细胞、血小板计数均有上升,上肝功能child分级正常范围21例,成功进行手术探查肝功能child例,肝部分切除18例,合并脾肾虚吃什么菜15例。

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然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

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