腹腔镜活体供肾切取术10例报告  

Laparoscopic living related donor nephrectomy:a report of 10 cases

作　　者：顾民[1] 张炜[1] 殷长军[1] 吴宏飞[1] 徐正铨[1] 眭元庚[1] 

机构地区：[1]南京医科大学第一附属医院肾移植中心,210029

出　　处：《中华器官移植杂志》2003年第5期269-270,共2页Chinese Journal of Organ Transplantation

摘　　要：目的　探讨活体供肾切取新方法。方法　对 10名亲属活体供肾者采用腹腔镜切取供肾 ,供者采用全身麻醉 ,经腹腔途径 ,取右侧卧位 ,在脐旁、剑突下偏右及左腹股沟韧带中点上方1.5cm各开一孔 ,脐旁放入观察镜 ,另两孔为操作孔。供肾经左下腹操作孔的延长切口用手取出。供、受者术后随访 2～ 12个月。结果　供肾切取耗时 (3.6± 0 .6 )h ,热缺血时间平均 4 .5min ;供者术后无并发症发生 ,肾功能正常 ,住院时间 (5± 1)d ,术后 2个月内均恢复正常工作。结论　腹腔镜活体供肾切取术是一种创伤小的供肾切取方法 ,供者术后疼痛轻 ,恢复快。Objective To develop a more ideal procedure of living donor nephrectomy. Methods Ten cases of living relate donor who received laparoscopic nephrectomy were regularly followed up from 2 to 12 months. Results These donors were discharged on the day 5 after operation. Renal function of the recipients was normal in 4 days after operation. The advantages of laparoscopic living related donor nephrectomy included smaller incisions, less pain, faster recovery and short hospitalization. Conclusion Laparo- scopic living related donor nephrectomy is effective and safe.

关 键 词：腹腔镜 活体供肾切取术 肾移植 手术方法 

分 类 号：R699.2[医药卫生—泌尿科学]