Y形缝合技术在腹腔镜肾门部肿瘤肾部分切除术中的应用  

Application of Y-hilar suture renorrhaphyduring laparoscopic partial nephrectomy for renal hilar tumors

作　　者：董传江 谢宗兰[1] 刘新锋 许朋 Dong Chuanjiang;Xie Zonglan;Liu Xinfeng;Xu Peng(Department of Urology,the First Affiliated Dongguan Hospital of Guangdong Medical University,Dongguan 523710,China;The First College of Clinical Medical Science,China Three Gorges University,Department of Urology,Yichang Central People'sHospital,Yichang 443100,China)

机构地区：[1]广东医科大学附属东莞第一医院泌尿外科,东莞523710 [2]三峡大学第一临床医学院,宜昌市中心人民医院泌尿外科,宜昌443100

出　　处：《微创泌尿外科杂志》2024年第3期204-207,共4页Journal of Minimally Invasive Urology

摘　　要：本文回顾性分析了行腹腔镜肾部分切除术(LPN)肾门部肾肿瘤患者11例,男性6例,女性5例。年龄(63.2±9.6)岁,肿瘤直径(3.4±0.6)cm。所有患者术中均采用“Y形”缝合技术,肿瘤切除后对靠近肾门的肾实质采用锁边缝合,对远离肾门的肿瘤床采用单纯连续缝合,在最大限度闭合伤口的同时减少对肾血管的损伤。术中无中转根治性或开放性肾部分切除术。热缺血时间(28.1±5.8)min,失血量(116.4±29.1)ml。手术时间(124.9±28.5)min,引流时间(4.4±1.4)d,住院时间(8.3±1.6)d,患者术后恢复良好,无严重并发症(Clavien≥Ⅱ级)发生。A retrospective analysis of 1l patients with renal hilar tumor undergoing laparoscopic partial nephrectomy(LPN)was performed,including 6 males and 5 females.The age was(63.2±9.6)years and the tumor diameter was(3.4±0.6)cm.The Y-hilar suture renorrhaphy was used in all patients during the operation.After tumor resection,the renal parenchyma near the renal hilus was sutured withlocking suture,and the tumor bed far away from the renal hilus was sutured with simplerunning suture to minimize the damage to renal vessels while closing the wound to the maximum extent.There was no radical or open nephrectomy during the operation.The hot ischemia time was(28.1±5.8)minutes and the blood loss was(116.4±29.1)ml.The operation time was(124.9±28.5)minutes,the drainage time was(4.4±1.4)days,and the hospitalization time was(8.3±1.6)days.The patient recovered well without serious complications(Clavien≥Ⅱ).

关 键 词：腹腔镜 肾切除术 肾单位 肾门肿瘤 

分 类 号：R737.11[医药卫生—肿瘤]