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  • Công bố khoa học và công nghệ Việt Nam

76.29.43

Y học lâm sàng

Trần Văn Thành(1), Thủy Châu Quý, Nguyễn Xuân Vương, Dương Văn Truyền

Phẫu thuật nội soi sau phúc mạc điều trị sỏi niệu quản và cắt chỏm nang thận dưới gây tê tủy sống tại bệnh viện đa khoa tỉnh Quảng Nam

Retroperitonial laparoscopic ureterolithotomy and renal cystectomy under spiral anesthesia in Quang Nam General Hospital

Y học Việt Nam

2013

0

49-53

1859-1868

Objective: The authors performed a prospective study to evaluate the feasibility of retroperitoneal laparoscopic ureterolithotomy and renalcystectomy under spinal anesthesia in selected patients. Patients and methods: From February 2012 to August 2012, seven ASA grade I or II patients underwent retroperitoneal laparoscopic ureterolithotomy and renalcystectomy under spinal anesthesia in Quang Nam hospital. Results: All cases were successfully completed retrolaparoscopically under spinal anesthesia. Mean time of operation was 57.85 minutes. Median pain score 4 h (visual analog scale) postoperatively was 1.5 (range 1-3), at 8h it was 2.5 (range 1-4), at 12h it was 1.7 (range 1-3), and at 24h it was 1 (range q-2 ). Mean time of hospital stay was 5.28 days (range 4-7). All the patients were satisfied with results of operations on follow up. Conclusion: retroperitoneal laparoscopic ureterolithotomy and renalcystectomy under spinal anesthesia by experienced surgeons is feasible and cost-effective. Further studies are required to validate this technique.

TTKHCNQG, CVv 46