摘要
目的探讨用自制单孔设备行经腹膜后入路腹腔镜亲属活体供肾切取术的安全性和可行性。方法2011年1月到2012年6月间采用自制单孔多通道设备及常规腹腔镜操作器械，先后完成11例经腹膜后入路腹腔镜亲属活体供肾切取手术。结果供肾均为左肾，平均手术时间为149．5min，术中出血量为20-350ml，供。肾热缺血时间为2-4min。供者术后5-6d出院，未发生手术并发症。结论采用自制单孔多通道设备完成经腹膜后入路腹腔镜活体供肾切取术在技术上是可行的；与传统腹腔镜供肾切取手术相比，手术创伤小，恢复快。
Objective. To investigate the feasibility and safety of retroperitoneal laparoendoscopic single-site （LESS） donor nephrectomy using home-made single-port device. Methods From January 2011 to June 2012, 11 consecutive LESS left donor nephrectomies using homemade single-port device with conventional laparoscopic instrument were performed through retroperitoneal access in our center. Results The procedures were completed and no complications occurred in all donors. Mean operative time was 149. 5 min. Estimated blood loss was 30-350 ml. Warm ischemia time was 2-4 rain. The urine output was prompt in all cases. Recipient graft function was normal within 2 weeks. Donor hospital stay was 5-6 days after operation. Conclusion LESS donor nephrectomy using home-made single-port device in our initial experience is feasible and safe. It is also cost-effective and minimally invasive with conventional laparoscopic donor nephrectomy. This technique is a good option for living donor nephrectomy.
出处
《中华器官移植杂志》
CAS
CSCD
北大核心
2012年第10期584-586,共3页
Chinese Journal of Organ Transplantation
关键词
腹腔镜
活体供者
肾移植
自制手术设备
腹膜后腔
Laparoscopes
Living donors
Kidney transplantation
Homemade surgicalequipment
Retroperitoneum
