| 手助腹腔镜活体供肾摘取术在肾移植中的应用 |
| |
| 引用本文： | 章道恒,黄东龙,眭维国,杨江根. 手助腹腔镜活体供肾摘取术在肾移植中的应用[J]. 中华器官移植杂志, 2003, 24(3): 145-147 |
| |
| 作者姓名： | 章道恒 黄东龙 眭维国 杨江根 |
| |
| 作者单位： | 1. 518020,深圳,暨南大学医学院第二附属医院深圳市人民医院泌尿外科
2. 解放军第181医院肾移植科 |
| |
| 摘 要： | 目的 为减轻对话体供者的损伤，探讨腹腔镜在供肾切取中的应用。方法 对3名亲属活体供肾者采用腹腔镜切取肾脏，术前行磁共振、静脉尿路造影和数字减影血管造影检查，以了解供者双侧肾脏的血管情况，取肾术在全身麻醉下进行，先行腹腔穿刺，注入CO2气体，以形成气腹，供肾通过脐上腹中线切口取出。结果 2例取左肾，l例取右肾，3例取肾手术均获成功，手术历时5、4和3．5h，失血100～400ml，供肾热缺血时间分别为8、5、5min，血管吻合完毕开放血流后，移植肾均在1min内泌尿，移植肾功能良好。结论 活体供者采用腹腔镜取肾可减轻供者的手术创伤，术后伤口疼痛轻，住院时间短，身体恢复快。
|
| 关 键 词： | 肾移植术 手助腹腔镜活体供肾摘取术 磁共振成像检查 静脉尿路造影 数字减影血管造影检查 |
Laparoscopic live donor nephrectomy in renal transplantation: a report of 3 cases |
| |
| ZHANG Dao heng,HUANG Dong long,SUI Wei guo,et al.. Laparoscopic live donor nephrectomy in renal transplantation: a report of 3 cases[J]. Chinese Journal of Organ Transplantation, 2003, 24(3): 145-147 |
| |
| Authors: | ZHANG Dao heng HUANG Dong long SUI Wei guo et al. |
| |
| Affiliation: | ZHANG Dao heng,HUANG Dong long,SUI Wei guo,et al. Department of Urology,Shenzhen People's Hospital,Shenzhen 518020,China |
| |
| Abstract: | Objective To introduce and evaluate the technique of laparoscopic live donor nephrectomy in renal transplantation.Methods Three donors underwent laparoscopic live donor nephrectomy, and 3 recipients received renal transplantation. The procedures were described in detail. Results The surgery was successfully performed in all 3 cases. Ischemia of the harvested kidneys was less than 8 min. All 3 kidneys were successfully transplanted and functioned well in 3 recipients up to now.Conclusion Laparoscopic live donor nephrectomy is a minimally invasive surgery. Advantages include less postoperative pain, shorter hospital stay and convalescence. The recipients also have a satisfactory renal function. |
| |
| Keywords: | Laparoscopic Nephrectomy Living donors Kidney transplantation |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
