首页 > 特色诊疗 > 动态详情

腹腔镜肾部分切除术

2020-06-09 阅读量:2058次

肾部分切除术包括开放的肾部分切除术(open partial nephrectomy, OPN)、腹腔镜肾部分切除术(laparoscopic partial nephrectomy, LPN)和机器人辅助的肾部分切除术等术式。LPN在病理和功能结果方面与OPN相近,同时具有术后镇痛治疗使用减少、住院时间缩短、术后恢复较快等特点。

LPN有经腹和经腹膜后两种手术路径,Gill于1994年完成首例后腹腔镜肾部分切除术,Winfield于1993年完成首例经腹腹腔镜肾部分切除术。经腹途径具有操作空间较大、解剖标志明确等特点,但也存在内脏干扰、可能发生肠管并发症等情况;后腹腔途径具有肾蒂血管控制相对容易、腹腔脏器干扰较小等优势,但存在操作空间有限、解剖标识不够清晰等情况;通过解剖、程序化和规范化手术操作,可以在一定程度上弥补后腹腔途径在手术操作空间相对较小、解剖标志欠明确等方面的不足。

 相关动态

file_put_contents(): Only 0 of 195 bytes written, possibly out of free disk space

(1/1) ErrorException

file_put_contents(): Only 0 of 195 bytes written, possibly out of free disk space

in Filesystem.php line 122
at HandleExceptions->handleError(2, 'file_put_contents(): Only 0 of 195 bytes written, possibly out of free disk space', '/var/www/wap.jdymsbyy.com/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php', 122, array('path' => '/var/www/wap.jdymsbyy.com/storage/framework/sessions/pdxR2uS2U8CkE9xKRXlLHvDJeGwsIynClrvJzVTw', 'contents' => 'a:3:{s:6:"_token";s:40:"kekHONqiD0xxSrNKqkyqs8Ajpv9dNFqGzU2ofuI2";s:9:"_previous";a:1:{s:3:"url";s:37:"http://wap.jdymsbyy.com/article/11487";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', 'lock' => true))
at file_put_contents('/var/www/wap.jdymsbyy.com/storage/framework/sessions/pdxR2uS2U8CkE9xKRXlLHvDJeGwsIynClrvJzVTw', 'a:3:{s:6:"_token";s:40:"kekHONqiD0xxSrNKqkyqs8Ajpv9dNFqGzU2ofuI2";s:9:"_previous";a:1:{s:3:"url";s:37:"http://wap.jdymsbyy.com/article/11487";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', 2)in Filesystem.php line 122
at Filesystem->put('/var/www/wap.jdymsbyy.com/storage/framework/sessions/pdxR2uS2U8CkE9xKRXlLHvDJeGwsIynClrvJzVTw', 'a:3:{s:6:"_token";s:40:"kekHONqiD0xxSrNKqkyqs8Ajpv9dNFqGzU2ofuI2";s:9:"_previous";a:1:{s:3:"url";s:37:"http://wap.jdymsbyy.com/article/11487";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', true)in FileSessionHandler.php line 83
at FileSessionHandler->write('pdxR2uS2U8CkE9xKRXlLHvDJeGwsIynClrvJzVTw', 'a:3:{s:6:"_token";s:40:"kekHONqiD0xxSrNKqkyqs8Ajpv9dNFqGzU2ofuI2";s:9:"_previous";a:1:{s:3:"url";s:37:"http://wap.jdymsbyy.com/article/11487";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}')in Store.php line 129
at Store->save()in StartSession.php line 87
at StartSession->terminate(object(Request), object(Response))in Kernel.php line 218
at Kernel->terminateMiddleware(object(Request), object(Response))in Kernel.php line 189
at Kernel->terminate(object(Request), object(Response))in index.php line 60