摘要
目的:探讨倒刺缝合在腹腔镜下保留肾单位手术治疗复杂性肾肿瘤中对热缺血时间及并发症的影响。方法:回顾分析62例接受腹腔镜下肾部分切除术的复杂性肾肿瘤(R.E.N.A.L评分≥7分)患者的临床资料,根据肾脏缝合方法分为倒刺组(n=28)与传统组(n=34)。对比两组患者的热缺血时间、手术时间、缝合时间、出血量、输血率、并发症及肾功能变化等资料。结果:倒刺组热缺血时间、手术时间、缝合时间及术中出血量均少于传统组,差异有统计学意义(P<0.01),两组术后并发症发生率差异无统计学意义(P>0.05),术后随访1个月,术后血清肌酐两组差异无统计学意义(P>0.05)。结论:倒刺缝合对于腹腔镜下复杂性肾肿瘤患者行肾部分切除术是安全、可行的,利于缩短肾热缺血时间,提高手术效率,减少术后出血。
Objective： To investigate the efficacy of barbed suture in laparoscopic nephron-sparing surgery for complicated renal tumor by assessing warm ischemia time and complications. Methods： Clinical data of 62 patients with complicated renal tumor（ R. E.N. A. L score≥7） undergoing laparoscopic nephron-sparing surgery were retrospectively analyzed. The patients were divided into selfretaining barbed suture group（ n = 28） and traditional group（ n = 34）. The warm ischemia time,average operation time,repairing time,blood loss,rate of blood transfusion,complications and kidney function were compared between two groups. Results： The warm ischemia time,operative time,suture time and blood loss of suture group were less than those of traditional group（ P 〈 0. 01）. The complication incidence was not statistically different between the two groups（ P 〉 0. 05）. There were no differences in levels of serum creatinine in 1month after treatment in two groups（ P 〉 0. 05）. Conclusions： Barbed suture can be safely and feasibly used in retroperitoneal laparoscopic nephron-sparing surgery for complicated renal tumor,can significantly reduce the warm ischemia time and bleeding,and may also improve the efficiency.
出处
《腹腔镜外科杂志》
2016年第8期627-630,共4页
Journal of Laparoscopic Surgery
基金
宝鸡市卫生局科研项目(编号:2014-07)
关键词
肾肿瘤
保留肾单位手术
腹腔镜检查
倒刺缝合
热缺血时间
并发症
Kidney neoplasms
Nephron-sparing surgery
Laparoscopy
Barbed suture
Warm ischemia time
Complications
