Hem-o-lok在后腹腔镜解剖性根治性肾切除术中的应用

Application of the Hem-o-iok in anatomical retroperitoneoscopic radical nephrectomy

目的评价后腹腔镜解剖性根治性肾切除术中单独应用Hem-o-lok处理肾动静脉的安全性及可靠性。方法2005年1月～2007年6月行后腹腔镜根治性肾切除术168例,常规制备后腹腔操作空间。按顺序分别进入4个相对无血管解剖层面进行分离。单独应用Hem-o-lok处理肾动静脉。结果168例手术均成功。无中转开放手术,无Hem-o-lok滑脱,移位。全部手术均成功完成,手术时间(138±46)min,出血量(90±30)mL。无严重手术并发症发生,无输血。恢复饮食和下床活动时间分别为l.3d和1.2d。术后平均住院日5.8d。随访6～18个月,平均8个月,均无瘤生存。结论后腹腔镜解剖性根治性肾切除术中单独使用Hem-o-lok处理肾动静脉安全、可靠。

【Objective】To evaluate the satety and reliability of the Hem-o-lok in anatomical retroperitoneoscopic radical nephrectomy.【Methods】A total of 168 patients underwent anatomical retroperitoneoscopic radical nephrec-tomy from January 2005 to June 2007.Retroperitoneal space was created routinely at lateral decubitus position.Af-ter retroperitoneal space,four relatively bloodless planes were orderly entered for exposure and separation of the kid-ney outside Gerota s fascia.The renal artery and veins were only de...