Pahernik S, Bergsträßer C, Teber D, Hohenfellner M
Urologische Universitätsklinik Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland,
Urologe A. 2014 May;53(5):706-9. doi: 10.1007/s00120-014-3489-1.
Nephrectomy is a standard procedure that is associated with a low complication rate.
Based on an analysis of the literature, expert recommendations, and our own experience, the management of complications during and after nephrectomy is described.
Complications during and after nephrectomy can be avoided by careful surgical planning, optimal approach and exposure, and precise knowledge of the principles of anatomy. The treatment of bleeding complications and injuries to neighboring structures are essential elements in the management of complications. Hernia and relaxation of the lumbar muscles should be avoided.
Morbidity associated with nephrectomy can be reduced by careful surgical planning and paying attention to the basic anatomical and surgical principles.
肾切除术是一种标准手术,并发症发生率较低。
基于文献分析、专家建议及我们自身的经验,描述肾切除术中及术后并发症的处理。
通过仔细的手术规划、最佳的手术入路和暴露以及对解剖学原理的精确了解,可避免肾切除术中及术后的并发症。出血并发症和邻近结构损伤的处理是并发症管理的关键要素。应避免疝气和腰肌松弛。
通过仔细的手术规划并关注基本的解剖学和手术原则,可降低肾切除术相关的发病率。