本报讯（记者裴晓兰）医院为袁先生（化名）做治疗肾囊肿的手术，结果准备不充分，手术操作不当，致使袁先生左肾被切除。记者昨天获悉，市二中院终审判决医院支付袁先生9.3万余元。

Report from our correspondent（Reporter PeiXiaoLan）The hospital for Mr. Yuan（alias）Do the operation in treating renal cyst，Results prepare adequately，Improper operation，Mr Yuan is the left kidney resection。Reporters learned yesterday，Lu guoqiang, a final decision hospital to pay Mr. Yuan more than 93000 yuan。

　　2009年11月12日，袁先生因“心悸10余年，加重2年”入住首都医科大学附属北京安贞医院治疗。医院检查后认为袁先生不适合手术搭桥，后袁先生转入泌尿外科治疗肾囊肿。当月24日，医院对其进行腹腔镜下肾囊肿去顶减压术，术中因出血难以控制，将其左肾切除。

On November 12, 2009，Mr. Yuan for“Palpitation more than 10 years of，Aggravate 2 years”In capital medical university affiliated Beijing anzhen hospital for treatment。The hospital inspection think Mr. Yuan is not suitable for surgery bypass，After Mr. Yuan into urinary surgical treatment for renal cyst。Month 24，The hospital the laparoscopic renal cyst unroofing decompression，Because of intraoperative bleeding difficult to control，Will the left renal excision。

　　袁先生随后将医院诉至法院称，医务人员违反医疗操作规程，敷衍了事，侵害了自己人身权、健康权和身体权，要求医院赔偿医疗费、残疾赔偿金、精神损害抚慰金等共计64.9万余元。

Mr. Yuan will then hospital to the court said，Medical personnel who violate medical procedures，perfunctory，The infringement of the personal right himself、Health and physical power，Hospital medical treatment for compensation、Disability compensation、Mental injury solatium and a total of more than 649000 yuan。

　　医院辩称，在为袁先生治疗肾囊肿时，经术前准备及患方签字同意，进行了腹腔镜下肾囊肿去顶减压术。手术中，医生发现囊腔内囊壁菲薄，有血渗出，腹腔镜下无法完整全面检查囊腔各壁情况，并且采用血管缝扎、止血纱布压迫等均止血无效。考虑患者有严重的冠心病，延长手术时间风险过大，并且患者右肾功能正常，遂向患者家属交待病情，经患方签字同意后将左肾切除，手术也很顺利。

Hospital argued that，Mr. Yuan for the treatment of renal cyst when，The preoperative preparation and those with signature agree，The laparoscopic renal cyst unroofing decompression。surgery，Doctors found cystic cavity internal capsule wall poor，Have blood oozed，Laparoscopic cannot complete overall check cystic space each wall condition，And the vascular joint firm、Hemostatic gauze oppression all hemostatic invalid。Considering patients with severe coronary heart disease，Extend the operation time excessive risk，And the right kidney function in patients with normal，Hence to patients families hand over to treat the illness，With the signature agreed to after resection of left kidney，Surgery is also very well。

　　医院称，袁先生被切除的左肾送病理后，结果确诊为肾错构瘤完全囊性变，这种病例极为罕见，目前国内报道仅两例，国外报道也仅十余例，术前无法明确诊断，均为术后病理证实。医院认为，此次手术治疗成功，不同意赔偿。

Hospital says，Mr. Yuan were removed after send left kidney pathology，Results diagnosis for renal hamartoma completely cystic changes，This case is extremely rare，At present domestic reports only two cases，Foreign coverage is also only more than 10 cases，Preoperative can't clear diagnosis，Are all postoperative pathology confirmed。Hospital think，The surgical treatment success，Don't agree to indemnify。

　　一审法院审理中，司法鉴定意见书确认，医院在对袁先生诊疗过程中存在准备不充分，风险评估不足，导致手术中操作不当等过错，并与袁先生左肾被切除存在因果关系，医方的责任程度考虑为D级（理论系数值50%）。另外，袁先生的伤残程度经鉴定属七级（伤残率40%）。

Court of first instance trial，The judicial appraisal submissions confirmed，The hospital on Mr. Yuan exist in the process of diagnosis and prepare adequately，Lack of risk assessment，Lead to surgery improper operation and fault，And Mr. Yuan left kidney abscise exist causal relationship，Pin level of responsibility, consider for D level（Theory coefficient value 50%）。In addition，Mr. Yuan disability degree identified seven genera（Disability rate 40%）。

　　一审法院判决医院赔偿袁先生9.3万余元，但袁先生不服，提出上诉。市二中院认为，关于赔偿项目及具体数额，一审法院的处理并无不当，应予维持。

Court of first instance verdict hospital compensation Mr. Yuan more than 93000 yuan，But Mr. Yuan refuses to accept，appeal。Lu guoqiang, think，About compensation project and specific amount，Court of first instance and the processing of all when，Shall be maintained。