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目的评价后腹腔镜解剖性根治性肾切除术中单独应用Hem-o-lok处理肾动静脉的安全性及可靠性。方法2005年1月～2007年6月行后腹腔镜根治性肾切除术168例,常规制备后腹腔操作空间。按顺序分别进入4个相对无血管解剖层面进行分离。单独应用Hem-o-lok处理肾动静脉。结果168例手术均成功。无中转开放手术,无Hem-o-lok滑脱,移位。全部手术均成功完成,手术时间(138±46)min,出血量(90±30)mL。无严重手术并发症发生,无输血。恢复饮食和下床活动时间分别为l.3d和1.2d。术后平均住院日5.8d。随访6～18个月,平均8个月,均无瘤生存。结论后腹腔镜解剖性根治性肾切除术中单独使用Hem-o-lok处理肾动静脉安全、可靠。
Objective To evaluate the safety and reliability of Hem-o-lok treatment of renal artery and vein in retroperitoneal laparoscopic anatomic radical nephrectomy. Methods From January 2005 to June 2007, 168 patients underwent laparoscopic radical nephrectomy. The abdominal cavity was routinely prepared. Respectively, into the four relative non-vascular anatomical separation. Hem-o-lok alone treatment of renal artery and vein. Results 168 cases were successful. No transfer to open surgery, no Hem-o-lok slippage, shift. All operations were successfully completed, the operation time (138 ± 46) min, the amount of bleeding (90 ± 30) mL. No serious surgical complications, no blood transfusion. Restoration diet and ambulation time were l.3d and 1.2d. The average postoperative hospital stay 5.8d. Follow-up 6 to 18 months, an average of 8 months, no tumor-free survival. Conclusions Retroperitoneal laparoscopic radical nephrectomy using Hem-o-lok in the treatment of renal artery and vein safe and reliable.