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腹腔镜活体供肾切取术10例报告
引用本文:顾民,张炜,殷长军,吴宏飞,徐正铨,眭元庚.腹腔镜活体供肾切取术10例报告[J].中华器官移植杂志,2003,24(5):269-270.
作者姓名:顾民  张炜  殷长军  吴宏飞  徐正铨  眭元庚
作者单位:210029,南京医科大学第一附属医院肾移植中心
摘    要:目的 探讨活体供肾切取新方法。方法 对 10名亲属活体供肾者采用腹腔镜切取供肾 ,供者采用全身麻醉 ,经腹腔途径 ,取右侧卧位 ,在脐旁、剑突下偏右及左腹股沟韧带中点上方1.5cm各开一孔 ,脐旁放入观察镜 ,另两孔为操作孔。供肾经左下腹操作孔的延长切口用手取出。供、受者术后随访 2~ 12个月。结果 供肾切取耗时 (3.6± 0 .6 )h ,热缺血时间平均 4 .5min ;供者术后无并发症发生 ,肾功能正常 ,住院时间 (5± 1)d ,术后 2个月内均恢复正常工作。结论 腹腔镜活体供肾切取术是一种创伤小的供肾切取方法 ,供者术后疼痛轻 ,恢复快。

关 键 词:腹腔镜  活体供肾切取术  肾移植  手术方法

Laparoscopic living related donor nephrectomy: a report of 10 cases
GU Min,ZHANG Wei,YIN Chang-jun,et al..Laparoscopic living related donor nephrectomy: a report of 10 cases[J].Chinese Journal of Organ Transplantation,2003,24(5):269-270.
Authors:GU Min  ZHANG Wei  YIN Chang-jun  
Institution:GU Min,ZHANG Wei,YIN Chang-jun,et al. Transplantation Center,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China
Abstract:Objective To develop a more ideal procedure of living donor nephrectomy. Methods Ten cases of living relate donor who received laparoscopic nephrectomy were regularly followed up from 2 to 12 months. Results These donors were discharged on the day 5 after operation. Renal function of the recipients was normal in 4 days after operation. The advantages of laparoscopic living related donor nephrectomy included smaller incisions, less pain, faster recovery and short hospitalization. Conclusion Laparo- scopic living related donor nephrectomy is effective and safe.
Keywords:Laparoscopic  Nephrectomy  Living donors  Kidney transplantation
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