| 钛夹和Hem-o-lok夹在腹膜后腹腔镜肾切除术肾血管处理中的应用 |
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| 引用本文： | 王建松,齐范,陈合群,范本祎,齐琳.钛夹和Hem-o-lok夹在腹膜后腹腔镜肾切除术肾血管处理中的应用[J].腹腔镜外科杂志,2009,14(8):591-593. |
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| 作者姓名： | 王建松 齐范 陈合群 范本祎 齐琳 |
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| 作者单位： | 中南大学湘雅医院,湖南,长沙,410008 |
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| 摘 要： | 目的:评价钛夹和Hem-o-lok夹在腹膜后腹腔镜肾切除术中处理肾血管的安全性和可靠性。方法:回顾分析2003年至2008年我院施行的1 245例腹膜后腹腔镜肾切除术的临床资料,其中单纯性肾切除术879例,根治性肾切除术321例,肾输尿管全长切除术45例。用钛夹处理肾血管825例,用Hem-o-lok夹处理420例。结果:3例中转开放手术,但非肾血管处理不全引起。发生钛夹滑脱1例,未发生明显出血。钛夹组平均手术时间150m in,平均出血90m l,Hem-o-lok组平均手术时间125m in,平均出血60m l。无血管夹原因而需输血、中转开放或再次手术探查病例。术后平均住院5.2d。结论:腹膜后腹腔镜肾切除术术中使用钛夹和Hem-o-lok夹处理肾血管安全可靠,而且用钛夹还可节省治疗费用。
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| 关 键 词： | 腹膜后腹腔镜 肾切除术 钛夹 Hem-o-lok夹 |
Titanium clips and Hem-o-lok clips for vascular control during retroperitoneal laparoscopic nephrectomy |
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| WANG Jian-song,QI Fan,CHEN He-qun,et al..Titanium clips and Hem-o-lok clips for vascular control during retroperitoneal laparoscopic nephrectomy[J].Journal of Laparoscopic Surgery,2009,14(8):591-593. |
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| Authors: | WANG Jian-song QI Fan CHEN He-qun |
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| Institution: | WANG Jian-song,QI Fan,CHEN He-qun,et al.Dept.of Urology,Xiangya Hospital,Central South University,Changsha 410008,China |
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| Abstract: | Objective:To evaluate the safety and reliability of the titanium clips and the Hem-o-lok clips for the control of the renal vessels during retroperitoneal laparoscopic nephrectomy.Methods:We retrospectively reviewed our 1 245 retroperitoneal laparoscopic nephrectomy(879 simple nephrectomy,321 radical nephrectomy and 45 nephroureterectomy) performed from 2003 to 2008.The arterial and venous control was obtained solely by the titanium clips(n=825) or the Hem-o-lok clips(n=420).Results:Conversion to an open pr... |
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| Keywords: | Retroperitoneal laparoscopy Nephrectomy Titanium clip Hem-o-lok clip |
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