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目的:探讨后腹腔镜下肾切除应用威克外科结扎锁处理肾脏动静脉的可靠性。方法:124例后腹腔镜肾切除,采用腰部3个Trocar(2个10mm,1个5mm),由腹膜外入路。根据肾动脉搏动找到并分离出肾动脉,游离肾动脉至适当长度,用13mm威克外科结扎锁(Hem-o-lok,Weck Closure Systems)处理肾动脉,肾动脉近心端以2枚夹闭,远心端以1枚夹闭,切断肾动脉,同法处理肾静脉。结果:124例均顺利完成手术,动静脉处理过程顺利、安全,所有病例均用威克外科结扎锁处理完成,无结扎锁滑脱现象,术中及术后未出现继发性出血,术中出血10～100ml,平均45ml,均未输血,术后平均住院日6.5天。结论:后腹腔镜肾切除应用威克外科结扎锁处理肾脏动静脉安全、可靠、经济、操作方便。
Objective: To investigate the reliability of retroperitoneal laparoscopic nephrectomy in the treatment of renal arteriovenous vein with Wake surgical ligation. Methods: One hundred and forty-four cases of retroperitoneal laparoscopic nephrectomy were treated with 3 Trocar lumbar (2 x 10 mm, 1 x 5 mm) by extraperitoneal approach. According to the renal artery pulse to find and separate the renal artery free renal artery to the appropriate length, with 13mm Wacker surgical locking ligation (Heck-Ook, Weck Closure Systems) treatment of renal artery proximal renal artery 2 clamp , Distal to a clamp, cut off the renal artery, the same treatment of renal vein. Results: All the 124 cases were successfully completed the operation. The arteriovenous process was smooth and safe. All the cases were completed by Wacker’s surgical ligation and no slippage of the ligature was found. No intraoperative and postoperative bleeding occurred. Intraoperative and postoperative bleeding 10 ~ 100ml, an average of 45ml, no blood transfusion, average postoperative hospital stay of 6.5 days. Conclusions: Retroperitoneal laparoscopic nephrectomy is safe, reliable, economical and easy to operate with Vick surgical ligation lock.