摘要
目的：探讨腹腔镜肾切除术中用Hem-o-lok结扎夹处理肾蒂的方法、优势及其应用价值。方法：2004年1月～2006年9月行腹腔镜肾切除术56例，其中38例术中应用Hem-o-lok夹处理肾蒂血管，包括腹腔镜单纯肾切除9例，腹腔镜肾癌根治术18例。腹腔镜肾输尿管全长切除术11例。观察手术时间、术中出血量、是否中转开放、术后胃肠功能恢复时间、术后住院时间以及术后并发症等情况。结果：应用Hem-o-lok夹处理肾蒂的38例腹腔镜肾切除手术均获成功，无一例转为开放手术。术中术后无肾血管出血及其他严重并发症。手术时间35～270min，平均165min；术中出血量50～600ml，平均187ml；术后胃肠道功能恢复时间18～72h，平均32h；术后住院时间7～16天，平均11天。结论：在腹腔镜肾切除术中，Hem-o-lok结扎夹可以安全快速可靠的处理肾蒂血管，是一种新型有效的血管控制系统，具有广阔的应用前景。
Objective： To explore the advantages of Hemolok ligation system in laparoscopic nephrectomy. Methods：From January 2004 to September 2006, 56 laparoscopic nephrectomies were performed. Hemolok clips were used to control renal artery and vein in 38 cases, including 9 simple nephrectomies, 18 radical nephrectomies and 11 nephroureterectomies. The operative time, estimated intraoperative blood loss, conversion rate, recovery time of intestinal function, postoperative hospital day, as well as complication rate were recorded and studied retrospectively. Result：Thirty-eight laparoscopic nephrectomies uing Hem-o-lok clips for renal pedicle control were accomplished successfully without conversion to open surgery. No postoperative vascular complications or other serious complications happened. The operative time was 35 ～ 270 rain （average 165 rain）. The intraoperative bleeding was 50～600 ml （average 187 ml）. The mean recovery time of intestinal function was 32 h （range18～72 h）. The postoperative hospital staying was 7 ～ 16 d, with the average of 11 days. Conclusions： The renal pedicle control using the Hemolok ligation system is safe and reliable for laparoscopic simple/radical nephrectomies.
出处
《临床泌尿外科杂志》
2008年第5期331-332,335,共3页
Journal of Clinical Urology
