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目的探讨腹腔镜辅助小切口亲属活体供肾切取术手术方式的安全性及实用性。方法回顾性分析济南军区总医院泌尿外科2007年12月至2009年6月,15例采用腹腔镜辅助小切口进行活体供肾切取的健康供肾者临床资料。结果 15例手术均成功,供肾热缺血时间(40±15)s,切取供肾平均手术时间65(50~85)m in。术中出血(50±20)mL,移植肾开放血流后来尿时间平均为1m in;移植肾功能恢复正常时间2~3d,血肌酐水平(110±30)μm o l/L,供者切口引流管留置1~3d,术后住院时间5~6d。结论腹腔镜辅助小切口活体供肾切取术不使用气腹,具有创伤小、手术时间短、恢复快、安全性和实用性较高特点,兼顾腹腔镜与开放手术的优势,并具有良好的经济性。
Objective To investigate the safety and practicability of laparoscopic assisted small incision relatives living donor nephrectomy. Methods The clinical data of 15 healthy kidney donors who underwent laparoscopic assisted small incision for living donor kidney were retrospectively analyzed from December 2007 to June 2009 in Jinan Military Region General Hospital Urology. Results All the 15 surgeries were successful, with the duration of renal ischemia (40 ± 15) s, and the average time of resection of the kidney was 65 (50 ~ 85) mins. Intraoperative blood loss (50 ± 20) mL, mean time to open urinary tract after open renal transplantation was 1 m in; graft function returned to normal within 2 to 3 days, serum creatinine level (110 ± 30) μm ol / L, Tube indwelling 1 ~ 3d, postoperative hospital stay 5 ~ 6d. Conclusions Laparoscopic assisted small incision living donor nephrectomy does not use pneumoperitoneum and has the advantages of less trauma, shorter operative time, faster recovery, higher safety and practicability, taking into account the advantages of laparoscopy and open surgery, and has a good economy Sex.