CAJ | 학술논문

目的探讨供者性腺静脉在后腹腔镜右侧供肾切取延长供肾静脉的临床效果.方法自2013年8月至2014年4月,我院对8例亲属肾移植供体实施后腹腔镜右侧供肾切取术,采用性腺静脉延长供肾静脉,并对手术时间、出血量、热缺血时间、性腺静脉长度、右肾静脉延长前后长度、住院时间等进行测定比较.结果 8例后腹腔镜供肾切取手术均顺利完成,无中转开放或出现重要并发症,供者手术时间为(88.0±7.5)min,术中出血量为(50.6±6.6) ml,热缺血时间为(75.8±18.4)s,供者平均住院日为(4.2±1.6)d,右侧供肾静脉平均延长(2.9±0.9)cm,肾移植手术成功,受者肾功能术后2～5d恢复正常,术后随访4～12个月,未出现静脉血栓等血管并发症.结论供者性腺静脉延长用于后腹腔镜右侧供肾切取术是安全和有效的,值得临床推广.
목적 탐토공자성선정맥재후복강경우측공신절취연장공신정맥적림상효과.방법 자2013년8월지2014년4월,아원대8례친속신이식공체실시후복강경우측공신절취술,채용성선정맥연장공신정맥,병대수술시간、출혈량、열결혈시간、성선정맥장도、우신정맥연장전후장도、주원시간등진행측정비교.결과 8례후복강경공신절취수술균순리완성,무중전개방혹출현중요병발증,공자수술시간위(88.0±7.5)min,술중출혈량위(50.6±6.6) ml,열결혈시간위(75.8±18.4)s,공자평균주원일위(4.2±1.6)d,우측공신정맥평균연장(2.9±0.9)cm,신이식수술성공,수자신공능술후2～5d회복정상,술후수방4～12개월,미출현정맥혈전등혈관병발증.결론 공자성선정맥연장용우후복강경우측공신절취술시안전화유효적,치득림상추엄.
Objective To study the clinical effect of lengthening donor renal vein using donor gonadal vein in right retroperitoneal laparoscopic living donor ephrectomy (RPLDN).Methods From August 2013 to April 2014,8 cases of retroperitoneal laparoscopic living right donor ephrectomy were performed at our hospital.Then the renal vein was lengthened using donor gonodalvein.The clinical data,including operation time,blood loss,warm ischemic time,length of gonodalvein,length of renal vein before and after prolonged and hospital stay,were analyzed retrospectively.Results Right RPLDN was performed successfully on all 8 cases without conversion to open surgery or apparent complications.The mean operation time was (88.0 ±7.5) min; mean blood loss was (50.6 ±6.6) ml; mean warm ischemic time was (75.8 ± 18.4) s; mean hospital stay was (4.2 ± 1.6) d,the length of renal vein was prolonged by mean (2.9 ± 0.9) cm.Kidney transplantation was performed successfully.Recipients' renal function returned to normal within 2-5 days.No complication such as venous thrombus was observed in the recipents during a 4-12 months follow-up.Conclusion Lengthening renal vein using gonodalvein during right RPLDN is a safe and effective procedure and worth being applied in clinic.