腹股沟斜切口在腹腔镜活体供肾切取术中的应用  

Application of Inguinal Oblique Incision in Laparoscopic Live Donor Nephrectomy

作　　者：王科[1] 高振利[1] 王建明[1] 赵俊杰[1] 林春华[1] 王琳[1] 

机构地区：[1]青岛大学附属烟台毓璜顶医院泌尿外科,山东烟台264000

出　　处：《泌尿外科杂志（电子版）》2010年第4期23-26,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的研究腹股沟斜切口在腹腔镜活体供肾切取术中应用的优势。方法选择自2005年4月～2009年6月开展的经腹腹腔镜活体供肾切取术67例,根据供肾取出采用切口的不同分为试验组和对照组,试验组(n=37)利用腹股沟斜切口取出供肾,对照组(n=30)采用旁腹直肌、肋缘下切口。对其手术时间、术中出血量、供肾热缺血时间、供体住院时间以及美容满意度进行比较。结果本组67例腹腔镜供肾切取术均获得成功,无手术死亡,无中转开腹,无明显手术并发症。试验组和对照组在平均手术时间、平均术中失血量、平均供肾热缺血时间方面差异无统计学意义;实验组和对照组平均住院时间分别为(4.4±0.7)天和(6.3±0.8)天,实验组明显短于对照组,P<0.01;实验组美容满意度明显高于对照组,P<0.01。结论对于腹腔镜活体供肾切取术,腹股沟斜切口是比较安全、切实可行的,可考虑推广应用。Objective Evaluate the advantages of inguinal oblique incision in laparoscopic live donor nephrectomy.Methods From April 2005 to June 2009,67 cases of transperitoneal laparoscopic live donor nephrectomies(LDN)were performed at our hospital,all data were analysed retrospectively.All donors were grouped as experimental group(n=37,inguinal oblique incision)and control group(n=30,para-midline or subcostal incision)according to graft retrieval incision selection.Donors were compared with regard to operative and warm ischemia time,operative blood loss,hospital stay and cosmetic satisfaction.Recipients were compared with regard to graft function and one-year graft survival rate.Results All 67 cases of transperitoneal LDN were successfully accomplished,without donor death,serious complications and conversion to open surgery.There were no differences in mean operation time,mean blood loss,mean warm ischemic time,graft function and one-year graft survival rate between two groups.But in lest group,mean hospital stay was shorter,P<0.01;and cosmetic satisfaction was higher,P<0.01.Conclusions The inguinal oblique incision is a sale and practical graft retrieval incision in LDN,can be applied generally.

关 键 词：腹腔镜 活体取肾 腹股沟斜切口 

分 类 号：R699[医药卫生—泌尿科学]