论着·50例后腹腔镜活体供肾切取手术配合体会-中华危重病急救医学.PDF

实用器官移植电子杂志  2014年5月第2卷第3期  Prac J Organ Transplant（Electronic Version）， May 2014，Vol.2，No.3 ·157· ·论著· 50例后腹腔镜活体供肾切取手术配合体会 张华 （天津市第一中心医院手术中心，天津300192） 【摘要】 目的 探讨利用后腹腔镜技术行活体肾切取术的手术配合方法。方法 对50例亲属供肾者 应用后腹腔镜技术进行活体切取，再用常规方法将供者肾脏移植给受者，详细记录手术配合的过程。结 果 50例后腹腔镜活体供肾切取手术顺利完成，供者术后手术切口小，恢复快，无手术并发症，缩短住院 时间。结论 手术室护士对腹腔镜设备器械操作的熟练程度，手术步骤的熟悉程度的了解，对手术的顺利 进行都起着重要的作用。 【关键词】 后腹腔镜 ； 活体供肾切取术 ； 手术配合 Cooperation of retroperitoneal laparoscopic live donor nephrectomy in 50 cases Zhang Hua. Op eration Room ， Tianj in First Center Hosp ital ，Tianj in 300192 ，China Corresp onding author ：Zhang Hua ，Email ：hhhzhangh@163.com 【Abstract 】 Objective To discuss retroperitoneal laparoscopic live donor nephrectomy. Methods Re troperitoneal laparoscopic live donor nephrectomy was performed in 50 cases of kidney transplantations which were offered by relatives ， and then routine method was used to transplant the kidney to the recipients. The full process of operation was recorded carefully. Results Fifty procedures of laparoscopic live donor nephrectomy were completed successfully. The donors recovered soon after operation ，and length of stay in hospital was shortened. The operative incision was small and there was no complication. Conclusion Be familiar with laparoscope device and instrument ，manipulating the laparoscope device and instrument perfectly and having a good cooperation with the operator are the key points of success. 【Key words 】 Retroperitoneal laparoscopy ； Live donor nephrectomy ； Cooperation 肾移植术是终末期肾病有效的治疗方法。接受 本组共50例，其中男性 16例，女性34例 ； 亲属活体供肾的手术患者，移植肾长期存活率明显 年龄40 ～53岁，平均45.23岁。全组供者均身体 ［1-2］ 高于尸体供肾肾移植患者 。后腹腔镜下