肾动脉低温灌注联合腹腔镜肾部分切除术处理复杂肾肿瘤的初步经验  

Combination of renal artery cold perfusion with laparoscopic partial nephrectomy for complex renal tumor:our initial experience

作　　者：马鑫[1] 刘新[1] 郑涛[1] 史涛坪[1] 瓦斯里江.瓦哈甫 俞鸿凯[1] 宋鹏[2] 张旭[1] 

机构地区：[1]中国人民解放军总医院泌尿外科,北京100853 [2]中国人民解放军总医院介入放射科

出　　处：《微创泌尿外科杂志》2014年第2期80-83,共4页Journal of Minimally Invasive Urology

基　　金：国家高技术研究发展计划(2012AA021100)

摘　　要：目的:介绍肾动脉低温灌注联合腹腔肾部分切除术处理复杂肾肿瘤的初步经验。方法:2013年3月起,共收治复杂肾肿瘤患者14例,在肾动脉低温灌注下,7例采用腹腔镜经腹膜后入路行肾部分切术,7例采用da Vinci Si机器人经腹腔入路实施手术。所有术后均由同一术者完成。结果:14例患者中12例成功实施了肾动脉低温灌下的肾部分切除术,术中4例出现了动脉阻断不全,2例术中改为肾根治性切除术,无一例改为开放手术。12例肾部分切除术的患者术后出现轻度肾功能下降。结论:对于复杂肾脏肿瘤,肾动脉低温灌注联合腹腔镜肾部分切除术具有可行性和安全性,可有效减少根治性肾切除的发生和热缺血对肾脏的损害。To introduce our initial experience in using renal artery cold perfusi on in laparoscopic partial nephrecto my for complex renal tu mor .Methods :From March 201 3 ,1 4 patients with complex renal tu mor under went partial nephrecto my combined with renal artery col d perfusi on .The operati ons were carried out by the sa me surgeon using laparoscopic retroperitoneal approach (n =7 )and robotic transperitoneal approach (n =7 ).Results :Partial ne-phrecto my was successfull y perfor med on 1 2 patients .incomplete arterial bl ock occurred in 4 patients ,and 2 patients under went conversi on to radical nephrecto my .There was no conversi on to open surgery in all cases .Additi onall y ,a mil d renal dysfuncti on was i dentified in the 1 2 patients who under went partial nephrecto my .Conclusions :Co mbina-ti on of renal artery cold perfusi on with laparoscopic partial nephrecto my is feasi ble and safe for complex renal tu mor . It can reduce the inci dence of radical nephrecto my ,as well as the da mage of war mische mia to renal functi on .

关 键 词：低温灌注 后腹腔镜 机器人 肾部分切除术 

分 类 号：R737.1[医药卫生—肿瘤]