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手助腹腔镜活体取肾的临床观察
引用本文:陈湘,刘海涛,周成,谢晋良,齐范,肖俊威. 手助腹腔镜活体取肾的临床观察[J]. 中南大学学报(医学版), 2006, 31(6): 911-913
作者姓名:陈湘  刘海涛  周成  谢晋良  齐范  肖俊威
作者单位:中南大学湘雅医院泌尿外科,长沙,410008;中南大学湘雅医院器官移植中心,长沙,410008
摘    要:目的:探讨手助腹腔镜活体供肾切取肾移植的可行性和优越性。方法:对6例亲属供体采取手助腹腔镜活体左肾切取,均经腹膜后途径。观察并记录肾切取手术时间、供肾热缺血时间、患者移植肾功能恢复情况及供者的康复情况。结果:供肾切取手术时间平均150min;热缺血时间平均3.5min,移植肾恢复灌注后排尿时间平均82s。供者术后1月内恢复正常生活。6例受者随访3个月,尿量和肾功能均在正常范围。结论:手助腹腔镜活体供肾切取术易于掌握、手术时间短;供肾热缺血时间短;供者痛苦小、术后恢复快,是临床值得推广应用的一种供肾切取方法。

关 键 词:肾移植  手助腹腔镜  肾切除
文章编号:1672-7347(2006)06-0911-03
收稿时间:2005-09-26
修稿时间:2005-09-26

CHEN Xiang,LIU Hai-tao,ZHOU Cheng,XIE Jin-liang,QI Fan,XIAO Jun-wei.
Authors:CHEN Xiang  LIU Hai-tao  ZHOU Cheng  XIE Jin-liang  QI Fan  XIAO Jun-wei
Affiliation:Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China cxiang1007@126.com
Abstract:Objective To investigate the feasibility and advantage of hand-assisted laparoseopic live donor nephrectomy in renal transplantation. Methods Six living relative donors received retroperitoneal left-side laparoscopic nephrectomy. The operating time of nephrectomy, the warm ischemic time, the recovery time of allograft and donors were recorded and analyzed. Results The mean operating time of nephrectomy was 150 minutes, the mean warm ischemic time was 3.5 minutes,and the mean time of micturation after graft reperfusion was 8 2 seconds. The donors recovered rapidly and returned to normal within 3 0 days . The urine volume and renal function of the 6 recipients were normal without complications in the following 3 months. Conclusion Hand-assisted laparoscopic live A donor nephrectomy is feasible with short operating time and warm ischemic time; the donors experience less pain, and recover rapidly. This technique may be widely used in living donor nephrectomy.
Keywords:renal transplantation    hand-assisted laparoseopie    nepheetomy
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