CAJ | 학술논문

目的探讨双向倒刺缝合线在不阻断肾动脉的后腹腔镜肾部分切除术中应用的可行性. 方法收集2007年10月至2012年12月的29例行传统的阻断肾动脉的后腹腔镜肾部分切除术的局限性肾肿瘤患者29例,2013年1月至2014年12月的7例行应用双向倒刺缝合线的不阻断肾动脉的后腹腔镜肾部分切除术患者. 比较两组手术时间、术中出血量、术后出血量、术后术前肌酐升高值和并发症的差异,了解应用双向倒刺缝合线的不阻断肾动脉的后腹腔镜肾部分切除术的可行性. 结果两组治疗的手术时间、术中出血量、术后出血量以及术后术前肌酐升高值的差异无统计学意义(P>0. 05). 两组病例均未发生严重并发症. 结论应用双向倒刺缝合线可以实现不阻断肾动脉下的后腹腔镜肾部分切除术,与传统手术有相似的效果,不增加严重并发症的发生.
목적 탐토쌍향도자봉합선재불조단신동맥적후복강경신부분절제술중응용적가행성. 방법 수집2007년10월지2012년12월적29례행전통적조단신동맥적후복강경신부분절제술적국한성신종류환자29례,2013년1월지2014년12월적7례행응용쌍향도자봉합선적불조단신동맥적후복강경신부분절제술환자. 비교량조수술시간、술중출혈량、술후출혈량、술후술전기항승고치화병발증적차이,료해응용쌍향도자봉합선적불조단신동맥적후복강경신부분절제술적가행성. 결과 량조치료적수술시간、술중출혈량、술후출혈량이급술후술전기항승고치적차이무통계학의의(P>0. 05). 량조병례균미발생엄중병발증. 결론 응용쌍향도자봉합선가이실현불조단신동맥하적후복강경신부분절제술,여전통수술유상사적효과,불증가엄중병발증적발생.
Objective To investigate the feasibility of bidirectional barbed suture in retroperitoneal laparoscopic partial nephrectomy without blocking renal artery. Methods There were 29 cases of kidney tumors patients were treated by retroperitone-al laparoscopic partial nephrectomy with blocking renal artery. There were 7 cases were treated by retroperitoneal laparoscopic par-tial nephrectomy with not blocking renal artery with the help of bidirectional barbed suture. Comparison between two groups of sur-gical time, intraoperative bleeding volume, postoperative bleeding, changes of serum creatinine and complications. Results Sur-gical time, intraoperative bleeding volume, postoperative bleeding and Changes in preoperative and postoperative serum creatinine were no significant difference in two groups(P>0. 05). Two groups were both no serious complications. Conclusions Retroper-itoneal laparoscopic partial nephrectomy with not blocking renal artery with the help of bidirectional barbed suture is feasible, does not increase operation difficulty and complications.