After the three-channel single-hole surgery with laparoscopic nephrectomy.docVIP

 PAGE \* MERGEFORMAT 6 After the three-channel single-hole surgery with laparoscopic nephrectomy [Keywords:] laparoscopy, hole laparoscopic surgery, nephrectomy Laparoscopic surgery in urology began in the 20th century, 90 years, most current endoscopic urological surgery can be done in [1]. Our hospital with single-hole three-channel treatment of retroperitoneal laparoscopic nephrectomy one case of left renal parenchymal atrophy, less bleeding, no complications, results of operations is good. now with the experience reported as follows surgery. 1 Materials and Methods 1.1 Clinical data Patients, male, aged 35, from repeated dizziness, headache 5 years and found that more than 3 years left kidney reduced admission. The inspection renal size 8 cm 4 cm, complete loss of renal function. Retroperitoneal in three-channel single-hole Endoscopic resection of the left kidney line. The operation time 45 min to 1 h, blood loss of about 50 mL, did not appeal postoperative discomfort, was discharged 5 d after operation. 1.2 Procedures Use of general anesthesia, the contralateral 90 supine position, placed 5 mm laparoscopic, endoscopic placement of two operating channels, respectively, use of forceps, scissors or suction apparatus, ultrasonic knife. Along the fatty renal capsule were sharp and blunt dissection , free dorsal and ventral sides of the lower pole of kidney, lower pole of the kidney below the cut dorsal Gerota fascia, the lower pole renal pry forward at the top, free the ureter 10 ~ 15 cm, to be processed after vascular renal pedicle ligation by ligating clip after the cut. parts of the renal pedicle with a scalpel and suction separation of renal artery and vein, free length of about 2 ~ 3 cm, with 3 ligating clip clamping the renal artery, the proximal end of the two cut off between the renal artery ligation clip or cut off the line cutter. the same treatment of renal vein. clamping the left spermatic vein after the cut. Finally, the kidn