中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2012年
12期
2595-2596,封4
,共3页
王科%林春华%门昌平%柳东夫%王建明%万峰春%王辉%谢茂%高振利
王科%林春華%門昌平%柳東伕%王建明%萬峰春%王輝%謝茂%高振利
왕과%림춘화%문창평%류동부%왕건명%만봉춘%왕휘%사무%고진리
后腹腔镜%肾部分切除术%肾癌
後腹腔鏡%腎部分切除術%腎癌
후복강경%신부분절제술%신암
Retroperitoneoscopy%Partial nephrectomy%Renal carcinoma
目的 探讨双向倒刺可吸收线(Quill线)在后腹腔镜肾部分切除术应用的安全性及可行性.方法 后腹腔镜肾部分切除手术21例均采用Quill线缝合肾脏.其中男13例,女8例.年龄25～74岁,平均51.2岁.肿瘤直径1.2 ～5.8cm,平均2.9 cm.肿瘤位于肾上极8例,中部2例,下极11例,均为单发病例.结果 21例后腹腔镜肾部分切除手术全部顺利完成,无1例中转开放,未出现重要术中并发症.Quill线组手术时间为68～105 min,平均78.5 min.术中出血量为30～140 ml,平均60.5 ml,术中均未输血.肾动脉阻断(热缺血)时间12 ～ 21 min,平均15.2 min.缝合时间5 ～ 17 min,平均10.4 min.术后住院天数为5～7d,平均5.9d.结论 Quill线在后腹腔镜肾部分切除术中应用能够明显缩短缝合时间和热缺血时间,减少手术并发症,具有较好的安全性和可行性.
目的 探討雙嚮倒刺可吸收線(Quill線)在後腹腔鏡腎部分切除術應用的安全性及可行性.方法 後腹腔鏡腎部分切除手術21例均採用Quill線縫閤腎髒.其中男13例,女8例.年齡25～74歲,平均51.2歲.腫瘤直徑1.2 ～5.8cm,平均2.9 cm.腫瘤位于腎上極8例,中部2例,下極11例,均為單髮病例.結果 21例後腹腔鏡腎部分切除手術全部順利完成,無1例中轉開放,未齣現重要術中併髮癥.Quill線組手術時間為68～105 min,平均78.5 min.術中齣血量為30～140 ml,平均60.5 ml,術中均未輸血.腎動脈阻斷(熱缺血)時間12 ～ 21 min,平均15.2 min.縫閤時間5 ～ 17 min,平均10.4 min.術後住院天數為5～7d,平均5.9d.結論 Quill線在後腹腔鏡腎部分切除術中應用能夠明顯縮短縫閤時間和熱缺血時間,減少手術併髮癥,具有較好的安全性和可行性.
목적 탐토쌍향도자가흡수선(Quill선)재후복강경신부분절제술응용적안전성급가행성.방법 후복강경신부분절제수술21례균채용Quill선봉합신장.기중남13례,녀8례.년령25～74세,평균51.2세.종류직경1.2 ～5.8cm,평균2.9 cm.종류위우신상겁8례,중부2례,하겁11례,균위단발병례.결과 21례후복강경신부분절제수술전부순리완성,무1례중전개방,미출현중요술중병발증.Quill선조수술시간위68～105 min,평균78.5 min.술중출혈량위30～140 ml,평균60.5 ml,술중균미수혈.신동맥조단(열결혈)시간12 ～ 21 min,평균15.2 min.봉합시간5 ～ 17 min,평균10.4 min.술후주원천수위5～7d,평균5.9d.결론 Quill선재후복강경신부분절제술중응용능구명현축단봉합시간화열결혈시간,감소수술병발증,구유교호적안전성화가행성.
Objective To investigate the safety and feasibility of bidirectional barbed absorbable suture line application in retroperitoneoscopic partial nephrectomy.Methods Between Feb.2012 and July 2012,21 cases of retroperitoneoscopic partial nephrectomy were performed in our hospital,and bidirectional barbed absorbable suture line was used in all cases,including 13 males and 8 females with age ranging of 25-74 years (mean 51.2 years).The diameter of tumor was 1.2-5.8 cm (mean 2.9 cm).The tumor was located on upper pole of the kidney in 8 cases,the middle part 2 cases and the lower pole 11 cases.All cases had a single mass.Results All 21 cases of retroperitoneoscopic partial nephrectomy were successfully performed,without conversion to open surgery and important intraoperative complications.The operative time was 68-105 min (mean 78.5 min),the blood loss was 30-140 mL (mean 60.5 ml) without operative blood transfusion,warm ischemia time was 12-21 min (mean 15.2 min),suture time was 5-17 min (mean 10.4),and hospital stay was 5-7 days (mean 5.9 days).Conclusion The application of bidirectional barbed absorbable suture line in retroperitoneoscopic partial nephrectomy can shorten suture time and warm ischemia time,with better safety and feasibility.
