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原位冰水降温保护下机器人辅助孤立肾保留肾单位手术的初步尝试 被引量：5

Renal hypothermia achieved by in situ cold saline perfusion in robotic partial nephrectomy for tumor in a solitary kidney:initial experience
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摘要 长时间温缺血一直制约着腹腔镜肾部分切除术的应用。一般认为温缺血30min是肾脏出现不可逆损伤的节点。但最新研究表明：缺血每延长1min，都对术后肾功能恢复造成更多不利的影响。对于对侧肾脏上正常的患者而言，由于代偿机制存在，术者对手术安全性的重视程度要远高于残肾功能保护。然而，面对孤立肾患者，保证手术安全的同时，也应最大限度地保留残肾功能，避免术后透析的结局。
作者 杨波 王林辉 王辉清 过菲 叶华茂 鲁欣 吴震杰 吕晨 孙颖浩
机构地区 第二军医大学长海医院泌尿外科
出处 《第二军医大学学报》 CAS CSCD 北大核心 2013年第9期1035-1037,共3页 Academic Journal of Second Military Medical University
关键词 机器人辅助肾部分切除术 孤立肾 肾脏降温 热缺血 robotic partial nephrectomy solitary kidney renal hypotherrnia warm ischemia
分类号 R699.2 [医药卫生—泌尿科学] R737.11 [医药卫生—肿瘤]
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参考文献9

  • 1Lane B R. Russo P.Uzzo R Gv Hermandez A V,Boor?jian SA. Thompson R H. et al. Comparison of cold and warm ischemia during partial nephrectomy in 660 soli?tary kidneys reveals predominant role of nonmodifiable factors in determining ultimate renal function[J].J Uro1,2011.185: 421-427.
  • 2Hillyer S P. Bhayani S B. Allaf ME. Rogers C G. Stifel?man M D. Tanagho Y. et al. Robotic partial nephrecto?my for solitary kidney: a multi-institutional analysis[J]. Urology.2013.81: 93-97.
  • 3Thompson R Hv Lane B R.Lohse C Mv Leibovich B C. Fergany A. Frank 1, et al. Renal function after partial nephrectomy: effect of warm ischemia relative to quan?tity and quality of preserved kidney[J]. Urology. 2012. 79: 356-360.
  • 4Patel A R. Eggener S E . Warm ischemia less than 30 minutes is not necessarily safe during partial nephrecto?my: every minute matters[J]. Urol Oncol , 2011. 29: 826-828.
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  • 6LandmanJ. Venkatesh R. Lee D. Vanlangendonck R. Morissey K. Andriole G L. et al. Renal hypothermia a?chieved by retrograde endoscopic cold saline perfusion: technique and initial clinical application[J]. Urology, 2003.61: 1023-1025.
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同被引文献30

  • 1倪伟平,杨波,王林辉,王永军,孙颖浩.逆行肾盂冰水灌注获得肾脏低温的可行性研究[J].中华泌尿外科杂志,2007,28(5):349-349. 被引量：3
  • 2Weight C J, Larson B T, Gao T, Campbell S C, Lane B R, Kaouk J H, et al. Elective partial nephrectomy in pa- tients with clinical Tlb renal tumors is associated with improved overall survival[J]. Urology, 2010, 76: 631- 637.
  • 3Rogers C G, Singh A, Blatt A M, Linehan W M, Pinto P A. Robotic partial nephreetomy for complex renal tumors: surgical technique[J]. Eur Urol, 2008,53 : 514- 521.
  • 4Ficarra V, Novara G, Secco S, Macchi V,Porzionato A, De Caro R, et al. Preoperative aspects and dimensions used for an anatomical (PADUA) classification of renal tumours in patients who are candidates for nephron- sparing surgery[J]. Eur Urol, 2009,56:786-793.
  • 5Dindo D, Demartines N, Clavien P A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey[J]. Ann Surg, 2004,240 : 205-213.
  • 6Gettman M T,Blute M L,Chow G K, Neururer R,Bar- tseh G,Peschel R. Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with DaVinci robotic system [J]. Urology, 2004, 64:914-918.
  • 7Rogers C G, Metwalli A, Blatt A M, Bratslavsky G, Menon M, Linehan W M, et al. Robotic partial nephree- tomy for renal hilar tumors:a multi-institutional analy- sis[J]. J Urol, 2008,180 : 2353-2356.
  • 8Tyritzis S I, Papadoukakis S, Katafigiotis I, Adamakis I, Anastasiou I, Stravodimos K G, et al. Implementation and external validation of Preoperative Aspects and Di- mensions Used for an Anatomical (PADUA) score for predicting complications in 74 consecutive partial ne- phrectomies[J]. BJU Int,2012,109 : 1813-1818.
  • 9Greco F,Autorino R,Rha K H,Derweesh I,Cindolo L, Richstone L, et al. Laparoendoscopic single-site partial nephrectomy:a multi-institutional outcome analysis[J]. Eur Urol, 2013,64 : 314-322.
  • 10Simone G, Papalia R, Guaglianone S, Gallucci M. ' Zero ischaemia',sutureless laparoseopic partial nephreetomy for renal turnouts with a low nephrometry score[J]. BJU Int,2012,110 : 124-130.

引证文献5

二级引证文献31

第二军医大学学报
2013年 第9期

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