【摘要】：目的　分析泌尿外科腹腔鏡手術(shù)改行開放手術(shù)的原因。　方法　對 16 5例泌尿外科腹腔鏡手術(shù)患者的臨床資料進(jìn)行分析 ,其中 2 6例 (16 % )改行開放手術(shù)。　結(jié)果　 2 6例改行開放手術(shù)原因 :未找到病灶 8例 ,氣腹或腹膜后充氣不滿意 5例 ,粘連分離困難 5例 ,出血 4例 ,損傷周圍臟器 2例 ,設(shè)備故障 2例。不同疾病改行開放手術(shù)的比例分別為腎上腺手術(shù) 42 % (8/19) ,腎切除術(shù) 2 5 % (2 /8) ,腎囊腫去頂術(shù) 18% (11/6 1) ,前列腺癌盆腔淋巴結(jié)活檢術(shù) 17% (1/6 ) ,精索靜脈結(jié)扎術(shù) 3% (2 /6 0 ) ,隱睪探查術(shù) 19% (2 /11)�！〗Y(jié)論　掌握適應(yīng)證和手術(shù)入路、熟練操作技術(shù)、改進(jìn)設(shè)備是提高泌尿外科腹腔鏡手術(shù)成功率的關(guān)鍵
[Abstract]:Objective to analyze the causes of the conversion from laparoscopic surgery to open surgery in urology. Methods the clinical data of 165 patients undergoing laparoscopic surgery in urology were analyzed. Among them, 26 cases (16%) were changed to open operation. Results the causes of 26 cases of open surgery were as follows: no lesion was found in 8 cases, pneumoperitoneum or retroperitoneal aeration was unsatisfactory in 5 cases, adhesion separation was difficult in 5 cases, and hemorrhage was 4 cases. There were 2 cases of organ injury and 2 cases of equipment failure. The proportion of patients undergoing open surgery was 42% (8 / 19) for adrenal surgery, 25% (2 / 8) for nephrectomy, and 18% (11 / 61) for renal cyst removal. Pelvic lymph node biopsy was performed in 17% (1 / 6) of prostate cancer, spermatic vein ligation in 3% (2 / 60), and cryptorchidism exploration in 19% (2 / 11). Improving equipment is the key to improve the success rate of Urological Laparoscopic surgery
【作者單位】： 北京大學(xué)第一醫(yī)院!北京大學(xué)泌尿外科研究所 100034 北京大學(xué)第一醫(yī)院!北京大學(xué)泌尿外科研究所 100034 北京大學(xué)第一醫(yī)院!北京大學(xué)泌尿外科研究所 100034 北京大學(xué)第一醫(yī)院!北京大學(xué)泌尿外科研究所 100034 北京大學(xué)第一醫(yī)院!北京大學(xué)泌尿外科研究所 100034 ，

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