腹腔镜下肾部分切除术减少热缺血时间的研究进展  

Research progress of laparoscopic partial nephrectomy in reducing warm ischemia time

作　　者：刘翔[1] 唐朝朋[1] 周文泉[1] LIU Xiang TANG Chaopeng ZHOU Wenquan.(Department of Urology, Nanjing General Hospital, Nanjing 210000, China)

机构地区：[1]南京大学附属金陵医院/南京军区南京总医院泌尿外科,210000

出　　处：《临床外科杂志》2016年第12期966-968,共3页Journal of Clinical Surgery

摘　　要：传统的腹腔镜肾部分切除术（LPN）为了减少术中出血、维持手术视野清晰是以夹闭肾蒂血管为标准的手术方式，由此导致的肾暂时缺血和再灌注损伤将不可避免的导致术后肾功能损害。随着外科技术的不断发展和各种新型止血材料的应用，腹腔镜下肾部分切除术正在不断的缩短热缺血时间，并向最终的目标“零缺血”迈进。本文就LPN在减少热缺血时间上应用的新技术予以综述。To reduce intraoperative bleeding and maintaining a clear operative field, renal blood vessel clipping is one of the standard procedures in traditional laparoscopic partial nephrectomy （ LPN ）. However, it generally causes a temporary ischemia of the kidney and following reperfusion injury, which inevitably result in the damage to postoperative renal functions. With the continuous development of surgical technologies and applications of various new hemostatic materials, the warm ischemia time in LPN is gradually shortening and the goal of zero ischemia may be achieved in the near future. In this paper, we reviewed the new technologies in reducing thermal ischemia time in LPN.

关 键 词：腹腔镜 肾部分切除术 热缺血 零缺血 

分 类 号：R737.11[医药卫生—肿瘤]