经腹膜后入路腹腔镜下腔静脉滤器取出7例  

Retroperitoneal Laparoscopic Removal of Inferior Vena Cava Filters in 7 Cases

作　　者：王海东[1] 刘建龙[1,2] 朱晓斐[1] 刘振华[1] 李贵忠[1] 李玮 周宁[1] 满立波[1] Wang Haidong;Liu Jianlong;Zhu Xiaofei(Department of Urology,Beijing Jishuitan Hospital,Beijing 100096,China)

机构地区：[1]北京积水潭医院泌尿外科,北京100096 [2]北京积水潭医院血管外科,北京100096

出　　处：《中国微创外科杂志》2021年第7期634-637,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：首都临床特色应用研究与成果推广基金(Z171100001017133)。

摘　　要：目的探讨经腹膜后入路腹腔镜下腔静脉滤器取出的适应证及效果。方法回顾性分析2017年12月~2020年7月7例经腹膜后入路腹腔镜取出下腔静脉滤器的临床资料。结果7例下腔静脉滤器均腹腔镜下成功取出,下腔静脉未阻断。手术时间70~200 min,(133.1±45.9)min;术中出血量10~150 ml,中位数20 ml。住院时间6~14 d,中位数12 d。结论对腔内取滤器失败者,如滤器头位于下腔静脉后外侧壁,经腹膜后入路腹腔镜滤器取出术安全、便捷、有效。Objective To investigate the indication and effect of retroperitoneal laparoscopic retrieval of inferior vena cava filters.Methods Clinical data of 7 cases treated during December 2017 and July 2020 were retrospectively analyzed.Laparoscopic retrieval of inferior vena cava filters was conducted in all the 7 cases,all of which were through retroperitoneal approach.Results The inferior vena cava filters were successfully removed under laparoscope in all the 7 cases.The operative time was 70-200 min(mean,133.1±45.9 min).The intraoperative blood loss was 10-150 ml(median,20 ml).The hospital stay ranged from 6 to 14 d(median,12 d).Conclusion For inferior vena cava filters located at posterior lateral wall of inferior vena cava,retroperitoneal laparoscopic technique is approved to be a safe and effective method after failed endovascular removal attempts.

关 键 词：后腹腔 腔静脉滤器 腹腔镜 

分 类 号：R654.4[医药卫生—外科学]