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腹腔镜肾部分切除术

2020-06-09 阅读量:2058次
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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。

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2020-06-09

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2020-06-09

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(1/1) ErrorException

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in Filesystem.php line 122
at HandleExceptions->handleError(2, 'file_put_contents(): Only 0 of 192 bytes written, possibly out of free disk space', '/var/www/www.jdymsbyy.com/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php', 122, array('path' => '/var/www/www.jdymsbyy.com/storage/framework/sessions/HeVxw0T3Fq12YdMlcrrSBqmy8JtHsWce9lJPJsfR', 'contents' => 'a:3:{s:6:"_token";s:40:"dvhsBh5Cor0oLV4JWvm424cnqGu30egB6aFRmbDt";s:9:"_previous";a:1:{s:3:"url";s:34:"https://jdymsbyy.com/article/11487";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}', 'lock' => true))
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at Filesystem->put('/var/www/www.jdymsbyy.com/storage/framework/sessions/HeVxw0T3Fq12YdMlcrrSBqmy8JtHsWce9lJPJsfR', 'a:3:{s:6:"_token";s:40:"dvhsBh5Cor0oLV4JWvm424cnqGu30egB6aFRmbDt";s:9:"_previous";a:1:{s:3:"url";s:34:"https://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
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