CAJ | 학술논문

目的介绍后腹腔镜肾切除术中处理肾蒂血管的方法和技巧.方法 2004年3月至2014年5月首都医科大学附属北京朝阳医院共完成了580例后腹腔镜肾切除术,术中对左右肾蒂血管采用了不同的寻找和处理方法.回顾性分析手术时间、术中出血量、术后引流管留置时间和住院时间.结果 580例腹腔镜肾切除术左右肾蒂血管采用不同方法寻找,首先寻找处理肾动脉,其次为肾静脉,12例手术因肾蒂出血改为开放手术.平均手术时间(100.5±24.8)min,术中平均出血量(90.4±26.5)ml,术后引流管平均留置时间(3.6±1.2)d,术后平均住院时间(7.4±2.8)d.结论对左右肾蒂血管采用不同的寻找和处理方法有利于减少手术时间,提高手术安全性.
목적 개소후복강경신절제술중처리신체혈관적방법화기교.방법 2004년3월지2014년5월수도의과대학부속북경조양의원공완성료580례후복강경신절제술,술중대좌우신체혈관채용료불동적심조화처리방법.회고성분석수술시간、술중출혈량、술후인류관류치시간화주원시간.결과 580례복강경신절제술좌우신체혈관채용불동방법심조,수선심조처리신동맥,기차위신정맥,12례수술인신체출혈개위개방수술.평균수술시간(100.5±24.8)min,술중평균출혈량(90.4±26.5)ml,술후인류관평균류치시간(3.6±1.2)d,술후평균주원시간(7.4±2.8)d.결론 대좌우신체혈관채용불동적심조화처리방법유리우감소수술시간,제고수술안전성.
Objective To introduce the methods and techniques of treatment of renal pedicle vessels during retroperitoneal laparoscopic nephrectomy.Methods Retroperitoneal laparoscopic nephrectomies were performed in 580 cases in our hospital from March 2004 to May 2014.Different measures were adopted to seek and manage bilateral renal pedicle vessels.The operative time,intraoperative blood loss,duration of postoperative drainage,and postoperative hospital stay were analyzed retrospectively.Results 12 cases were converted to open surgery due to severe bleeding of renal pedicle vessels.Mean operative time was (100.5 ± 24.8) min,mean intraoperative blood loss was (90.4 ± 26.5) ml,duration of postoperative drainage was (3.6 ± 1.2) d,and mean postoperative hospital stay were (7.4 ±2.8) d.Conclusion Different managing for bilateral renal pedicle vessels will help to decrease operative time and improve the safety of the surgery.