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.
Abstract
A retrospective analysis of 11 patients with renal hilar tumor undergoing laparoscopic partial nephrec-tomy(LPN)was performed,including 6 males and 5 females.The age was(63.2±9.6)years and the tumor diame-ter was(3.4±0.6)cm.The Y-hilar suture renorrhaphy was used in all patients during the operation.After tumor re-section,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 with-out serious complications(Clavien≥Ⅱ).
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