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目的探讨微波组织凝固器在无阻断肾蒂肾脏部分切除术中应用价值。方法用微波组织凝固器对16例(17个肾脏)行肾脏部分切除术,术中未阻断肾蒂。结果1例同时行双侧肾部分切除术患者手术时间为325min,15例手术时间为90~220min,平均为180min。术中出血量45~450ml,平均80ml。术前术后血肌酐无显著性差异。患者术后第2天即可下床活动。结论微波组织凝固器在肾脏部分切除术中,具有微创、安全、出血少及操作简便等作用。
Objective To investigate the value of microwave tissue coagulator in partial nephrectomy without interruption of renal pedicle. Methods Totally 16 cases (17 kidneys) underwent partial nephrectomy with microwave tissue coagulator without renal pedicle surgery. Results One patient undergoing bilateral partial nephrectomy operation time was 325min, 15 cases of operation time was 90 ~ 220min, with an average of 180min. Intraoperative bleeding 45 ~ 450ml, an average of 80ml. Preoperative and postoperative serum creatinine no significant difference. Patients can be out of bed after 2 days of activity. Conclusion Microwave tissue coagulator in the partial excision of the kidney, with minimally invasive, safe, less bleeding and simple operation and so on.