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3D后腹腔镜下活体供肾切取术的临床分析

郭佳 刘修恒 周江桥

郭佳, 刘修恒, 周江桥. 3D后腹腔镜下活体供肾切取术的临床分析[J]. 器官移植, 2016, 7(4): 279-282. doi: 10.3969/j.issn.1674-7445.2016.04.006
引用本文: 郭佳, 刘修恒, 周江桥. 3D后腹腔镜下活体供肾切取术的临床分析[J]. 器官移植, 2016, 7(4): 279-282. doi: 10.3969/j.issn.1674-7445.2016.04.006
Guo Jia, Liu Xiuheng, Zhou Jiangqiao. Clinical analysis of retroperitoneal living donor nephrectomy under 3D laparoscopy[J]. ORGAN TRANSPLANTATION, 2016, 7(4): 279-282. doi: 10.3969/j.issn.1674-7445.2016.04.006
Citation: Guo Jia, Liu Xiuheng, Zhou Jiangqiao. Clinical analysis of retroperitoneal living donor nephrectomy under 3D laparoscopy[J]. ORGAN TRANSPLANTATION, 2016, 7(4): 279-282. doi: 10.3969/j.issn.1674-7445.2016.04.006

3D后腹腔镜下活体供肾切取术的临床分析

doi: 10.3969/j.issn.1674-7445.2016.04.006
详细信息
    通讯作者:

    刘修恒,Email:drlxh@hotmail.com

  • 中图分类号: R617,R692

Clinical analysis of retroperitoneal living donor nephrectomy under 3D laparoscopy

  • 摘要:   目的  总结3D后腹腔镜下活体供肾切取术的经验,并探讨其临床效果和安全性。   方法  收集19例3D后腹腔镜下活体供肾切取术的临床资料。记录手术时间、术中失血量、肾脏热缺血时间、肾动脉长度、肾静脉长度、输尿管长度、切口长度、手术并发症。观察供、受者术后肾功能的情况等。   结果  19例活体供肾切取术均在3D后腹腔镜下顺利完成,无术中改为常规腹腔镜和中转开放者。3D后腹腔镜下活体供肾切取术手术时间80.5~125.2(平均102.3)min;术中出血量40.6~90.4(60.8)ml;肾脏热缺血时间100~230(161)s。供肾动脉长度2.6~3.2(2.9)cm;供肾静脉长度2.2~3.0(2.6)cm;供肾输尿管长度8~13(10)cm;切口长度约5~6 cm,伤口愈合良好;供者术后24 h尿量2 000~2 500 ml;术后3 d查血清肌酐轻度增高1例,术后7 d和1个月复查血清肌酐恢复正常。术后住院时间5~7(6)d。移植手术均获成功,未发生移植肾功能延迟恢复。   结论  3D腹腔镜手术系统可有效提高术中操作的精准性,3D后腹腔镜下活体供肾切取术安全可行。

     

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出版历程
  • 收稿日期:  2016-04-10
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2016-07-15

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