经腹腔路径腹腔镜活体供肾切取术  

Transperineal laparoscopic nephrectomy in live-donors

作　　者：张大宏[1] 刘锋[1] 祁小龙[1] 白虹[1] 丁青[1] 章越龙[1] 毛夏娃[1] 章伟[1] 毛祖杰[1] 任黎刚[1] 肖家全[1] 

机构地区：[1]浙江省人民医院泌尿外科,浙江杭州310014

出　　处：《浙江大学学报（医学版）》2009年第1期100-102,106,共4页Journal of Zhejiang University(Medical Sciences)

摘　　要：目的:探讨经腹腔路径腹腔镜活体供肾切取技术的方法以及手术的安全性和临床意义。方法:2008年5月及8月分别对1例58岁的父亲和1例50岁母亲供肾亲属肾移植的供者实施经腹腔路径腹腔镜活体供肾切取并随访。结果:手术用时分别为130min和110min,出血量各50ml,热缺血时间30s和2min;肾动脉长度分别为4.0cm和3.5cm,肾静脉长度各为3.0cm,开放血流后30s和10s供肾泌尿,2例供者术后肾功能正常,均7d拆线出院,无手术并发症,受者肾功能恢复良好。结论:经腹腔路径腹腔镜活体供肾切除术可以满意解剖肾血管和保留足够长的输尿管,而且安全、有效,创伤小、恢复快、痛苦少,供者易于接受。Objective： To evaluate the feasibility and safety of transperitoneal laparoscopic nephrectomy in live-donors. Methods： Two cases of live donor underwent laparoscopic nephrectomy in May and August 2008 respectively and both were followed up. Results： In two cases the operation time was 130,110 rain; blood loss was 50 ml;warm isehemie time was 30 s and 2 min; the length of artery was 4.0 cm and 3.5 cm; the length of vein was 3, 0 cm. The grafted kidneys started to produce urine at 30 s and 10 s after blood supply. Renal function of donor returned to normal after two days. The donors were discharged at 7th day after the operation. Renal function of recipient was normal after 3 days. Conclusion.- Transperitoneal laparoscopic nephrectomy in live donor is a safe and effective procedure,which provides kidney with satisfactory blood vessels and ureter for graft.

关 键 词：腹腔镜检查 肾移植 活体供者 肾切除术/方法 近亲 

分 类 号：R699.2[医药卫生—泌尿科学]