[1]舒泽华,张尧,张克勤,等.后腹腔镜下零缺血时间行保留肾单位肾脏肿瘤切除术[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):55-57.[doi:10.3877/cma.j.issn.1674-3253.2016.01.015 ]
　Shu Zehua,Zhang Yao,Zhang Keqin,et al.Retroperitoneal laparoscopic nephron-sparing surgery with zero ischemia[J].,2016,10(01):55-57.[doi:10.3877/cma.j.issn.1674-3253.2016.01.015 ]
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后腹腔镜下零缺血时间行保留肾单位肾脏肿瘤切除术()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年01期
页码:
55-57
栏目:
临床研究
出版日期:
2016-04-29

文章信息/Info

Title:
Retroperitoneal laparoscopic nephron-sparing surgery with zero ischemia
作者:
舒泽华; 张尧; 张克勤; 吴刚
400042重庆，第三军医大学大坪医院野战外科研究所泌尿外科
Author(s):
Shu Zehua;  Zhang Yao;  Zhang Keqin;  Wu Gang.
Department of Urology, Daping Hospital & Research Institute of Field Surgery, the Third Military Medical University, Chongqing 400042, China
关键词:
零缺血; 后腹腔镜; 保留肾单位; 肾脏肿瘤
DOI:
10.3877/cma.j.issn.1674-3253.2016.01.015
摘要:
目的探讨后腹腔镜下不阻断肾动脉行保留肾单位肾脏肿瘤切除术的手术方法可行性及安全性，减少后腹腔镜下保留肾单位手术对肾脏功能的影响。方法对 16例 <4 cm的肾脏周边型肿瘤行后腹腔镜下不阻断肾动脉方法保留肾单位肾脏肿瘤切除术。建立传统四通道后腹腔腔隙，寻找并游离肾动脉不予阻断，充分游离整个肾脏并暴露肿瘤，于肿瘤边缘 0.3~0.5 cm用剪刀开始切除肿瘤，遇可疑血管及活动出血用双极电凝（ PK刀）止血，助手用吸引器保持创面清晰；完整切除肿瘤后用结扎夹代替打结的方法连续缝合创面，最后创面喷洒生物蛋白凝胶。结果 14例手术取得成功，2例因出血难以控制采用暂时阻断肾动脉后完成手术，无中转开放。手术时间 65~150 min，平均 86 min；出血量 50~550 ml，平均 240 ml；术后住院时间 7~10 d，平均 9d；术后无肾脏继发出血、漏尿等外科并发症。结论后腹腔镜下不阻断肾动脉行保留肾单位肾脏肿瘤切除术对肾周表浅 T1a期肿瘤安全可行，有较好的临床应用价值。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：吴刚，Email：Zhkq2000@sina.com
更新日期/Last Update: 1900-01-01