腹腔镜肾部分切除术治疗肾脏上组肾盏颈闭锁的疗效分析  

Clinical analysis of laparoscopic partial nephrectomy in the treatment of superior calyx neck atresia

作　　者：张云龙 余伟民[1] 程帆[1] 黄晨 阮远[1] 饶婷[1] 李成龙[1] ZHANG Yunlong;YU Weimin;CHENG Fan(Department of Urology,Renmin Hospital of Wu-han University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院泌尿外科,430060

出　　处：《临床外科杂志》2020年第8期781-783,共3页Journal of Clinical Surgery

摘　　要：目的探究腹腔镜肾部分切除术治疗局限性肾脏上组肾盏颈闭锁的安全性和临床疗效。方法2016年6月~2018年12月我院收治因上组肾盏颈闭锁导致局限性重度积水病人12例,均行腹腔镜肾部分切除术,统计手术时间、术中出血情况、术中肾脏热缺血时间、术后住院时间、术中和术后并发症及随访情况。结果12例手术均获得成功,平均手术时间112.6分钟,平均热缺血时间28.6分钟。手术前后血红蛋白平均下降5.7 g/L,术后平均住院时间7.6天。术中、术后未见明显并发症,术后6个月共10例病人接受分肾功能ECT检查,平均GFR 29.4 ml/min。结论腹腔镜肾部分切除术治疗上组肾盏颈闭锁所致的局限性上组肾重度积水安全、有效。Objective To investigate the safety and clinical efficacy of laparoscopic partial nephrectomy in the treatment of localized renal pelvic neck atresia.Methods From June 2016 to December 2018,12 patients with localized severe hydronephrosis due to upper cervical sacral atresia were treated in Wuhan University Renmin Hospital.All patients underwent laparoscopic partial nephrectomy.The operation time and intraoperative bleeding,intraoperative warm ischemia time,postoperative hospital stay,intraoperative and postoperative complications and follow-up were counted.Results All the 12 cases were successful,the average operation time was 112.6 min,and the average warm ischemia time was 28.6 min.The mean hemoglobin decline during surgery decreased by 5.7 g/L,and the average postoperative hospital stay was 7.6 days.No obvious complications were found during or after operation.A total of 10 patients underwent ECT examination with renal function at 6 months after operation,with an average GFR of 29.4 ml/min.Conclusion Laparoscopic partial nephrectomy is safe and effective in the treatment of severe upper hydronephrosis caused by renal sacral atresia in the upper group.

关 键 词：腹腔镜 肾部分切除术 上组肾盏 盏颈闭锁 热缺血时间 

分 类 号：R699.2[医药卫生—泌尿科学]