挑战极限：腹腔镜肾切除术作为门诊手术
Pushing the Envelope: Laparoscopic Nephrectomy as Outpatient Surgery.
作者信息
Azawi Nessn H, Christensen Tom, Dahl Claus, Lund Lars
机构信息
Department of Urology, Zealand University Hospital, Sygehusvej 10, 4000, Roskilde, Denmark.
Institute for Clinical Medicine, Copenhagen University, Copenhagen, Denmark.
出版信息
Curr Urol Rep. 2018 Jan 27;19(1):2. doi: 10.1007/s11934-018-0751-x.
PURPOSE OF REVIEW
The purposes of this review were to identify the possible limiting factors prohibiting laparoscopic nephrectomy being performed as an outpatient surgery and optimize these limiting factors.
RECENT FINDINGS
Laparoscopic nephrectomy for patients who have kidney cancer can be performed as an outpatient surgery in well-selected, well-educated, and well-informed patients in a well-prepared hospital culture. Patient confidence, pain, and hospital culture are the most important limiting factors to the performance of laparoscopic nephrectomy as an outpatient procedure. Controlling these factors leads to a high success rate for the outpatient procedure.
综述目的
本综述的目的是确定可能限制腹腔镜肾切除术作为门诊手术开展的因素，并对这些限制因素进行优化。
最新发现
在精心挑选、教育良好且信息充分的患者以及准备充分的医院环境中，针对肾癌患者的腹腔镜肾切除术可以作为门诊手术进行。患者信心、疼痛和医院环境是腹腔镜肾切除术作为门诊手术开展的最重要限制因素。控制这些因素可使门诊手术获得较高成功率。
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