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我院自1995年8月至1996年8月共施行腹腔镜肾囊肿去顶术9例,其中经腹腔7例,经腹膜外途径2例。经腹腔途经采用先由脐下穿刺建立CO_2人工气腹并刺入10mm套管针,在电视监视下于患侧肋缘下锁中线及腋前线另建立通道。置入器械游离切除肾囊肿顶壁。腹膜外途径患者取健侧卧位。于患侧肋缘下腋中线或十二肋尖下切开皮肤一小口,深达肌层。用右手食指钝性扩张分离肌层进入腹膜后肾周间隙。推开腹膜反折,于髂嵴上切一小口,经手指引导将10mm套管针刺入此间隙内。在电视监视下于前上方另穿刺建立一通道,间隙内注入CO_2后
Our hospital from August 1995 to August 1996 were performed laparoscopic renal cyst debridement in 9 cases, of which 7 cases by intraperitoneal, 2 cases by extraperitoneal route. The transabdominal approach by using the first under the umbilical needle to establish CO_2 artificial pneumoperitoneum and piercing 10mm trocar under the television surveillance in the affected side of the lower margin of the costal margin and axillary line to establish another channel. Into the device free removal of renal cysts top wall. Extraperitoneal route patients take the healthy lateral position. In the affected side of the costal margin under the axillary line or twelve rib incision skin a small mouth, deep muscle. With the right index finger blunt extension of the myometrial separation into the retroperitoneal space. Open the peritoneal fold, the iliac crest cut a small mouth, guide the 10mm trocar through this finger into the gap. Under the surveillance of the TV, the other puncture at the top of the former was used to establish a channel, and CO 2 was injected into the gap