摘要
目的 为减轻对活体供者的损伤 ,探讨腹腔镜在供肾切取中的应用。方法 对 3名亲属活体供肾者采用腹腔镜切取肾脏 ,术前行磁共振、静脉尿路造影和数字减影血管造影检查 ,以了解供者双侧肾脏的血管情况 ,取肾术在全身麻醉下进行 ,先行腹腔穿刺 ,注入CO2 气体 ,以形成气腹 ,供肾通过脐上腹中线切口取出。结果 2例取左肾 ,1例取右肾 ,3例取肾手术均获成功 ,手术历时 5、4和 3.5h ,失血 10 0～ 4 0 0ml,供肾热缺血时间分别为 8、5、5min ,血管吻合完毕开放血流后 ,移植肾均在1min内泌尿 ,移植肾功能良好。结论 活体供者采用腹腔镜取肾可减轻供者的手术创伤 ,术后伤口疼痛轻 ,住院时间短 。
Objective To introduce and evaluate the technique of laparoscopic live donor nephrectomy in renal transplantation.Methods Three donors underwent laparoscopic live donor nephrectomy, and 3 recipients received renal transplantation. The procedures were described in detail. Results The surgery was successfully performed in all 3 cases. Ischemia of the harvested kidneys was less than 8 min. All 3 kidneys were successfully transplanted and functioned well in 3 recipients up to now.Conclusion Laparoscopic live donor nephrectomy is a minimally invasive surgery. Advantages include less postoperative pain, shorter hospital stay and convalescence. The recipients also have a satisfactory renal function.
出处
《中华器官移植杂志》
CAS
CSCD
北大核心
2003年第3期145-147,共3页
Chinese Journal of Organ Transplantation
