杨庆, 杜君, 代煜. 腹腔镜肾部分切除手术研究进展[J]. 中国肿瘤临床, 2014, 41(9): 601-603. DOI: 10.3969/j.issn.1000-8179.20140389
引用本文: 杨庆, 杜君, 代煜. 腹腔镜肾部分切除手术研究进展[J]. 中国肿瘤临床, 2014, 41(9): 601-603. DOI: 10.3969/j.issn.1000-8179.20140389
YANG Qing, DU Jun, DAI Yu. Research progress in the operational techniques of laparoscopic partial nephrectomy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(9): 601-603. DOI: 10.3969/j.issn.1000-8179.20140389
Citation: YANG Qing, DU Jun, DAI Yu. Research progress in the operational techniques of laparoscopic partial nephrectomy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(9): 601-603. DOI: 10.3969/j.issn.1000-8179.20140389

腹腔镜肾部分切除手术研究进展

Research progress in the operational techniques of laparoscopic partial nephrectomy

  • 摘要: 与传统的开放手术相比,腹腔镜手术具有创伤小、住院时间短及切口美观等优势,但仅少数医生能够掌握。术者手的灵活性和触觉反馈功能缺失是其主要缺点,导致术者学习曲线延长,手术普及困难,尤其以腹腔镜肾部分切除术为代表的腔镜下重建手术更是如此。腹腔镜技术通过规范腹腔镜医生培训制度、手术方式标准化、简化缝合、打结复杂性操作、术中应用止血物、CT影像和生物工程学技术(力和生物电阻抗技术)辅助术中操作等,可以有效减少术者对于人手灵活性和触觉反馈功能的依赖,降低围手术期并发症,使腹腔镜下保留肾单位的肾部分切除术得到更广泛开展。

     

    Abstract: Compared with open surgery, laparoscopic surgery (LS) provides distinct advantages. However, LS is limited because of the lack of flexibility and tactile feedback. These drawbacks may result in prolonged learning curve and increase in difficulty of surgery, particularly for reconstructive LS. This study aimed to determine more efficient methods and resolve several limitations, such as surgical education, LS, surgical procedures (suturing and knotting), iconography, and biotechnology in LS. This review provides a broad overview of studies related to this field.

     

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