腹腔镜辅助小切口亲属活体供肾切除术

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)min。术中出血(50±20)mL，移植肾开放血流后来尿时间平均为1min；移植肾功能恢复正常时间2～3d，血肌酐水平(110±30) μmol／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。

Laparoscopic-assisted small incision relative live donor nephrectomy

Objective      To discuss the safety and practicability of the laparoscopic-assisted small incision live donor nephrectomy mode. Methods      Clinical data of 15 healthy kidney donors who adopted laparoscopic-assisted small incision for live donor nephrectomy were retrospectively analyzed in the  General Hospital of the Jinan Military Region from December 2007 to June 2009. Results     15 operations were successful, with the renal warm ischemia time being (40±15) s and the average operation time for donor kidney harvesting being 65 (50 to 85) min. Bleeding during operation was (50±20) mL and the average urination time after kidney opening blood flow was 1min. Transplanted kidney function return to normal time was 2 to 3 days. The serum creatinine level was (110±30) umol / L. The incision drainage intubated time was 1 to 3 days, and the postoperative hospital stay time was 5 to 6 days. Conclusion     Laparoscopic-assisted small incision live donor nephrectomy needs no pneumoperitoneum, has the characteristics of less trauma, shorter operation time, sooner recovery, higher security and availability, combines the advantages of laparoscopic and open surgeries, and has an excellent economical feature.