预置输尿管导管联合“2+1”缝合法在中央型肾肿瘤腹腔镜肾部分切除术中的应用

储传敏; 杨炜; 杨启维; 叶剑青; 干思舜; 曲发军; 崔心刚

doi:10.13201/j.issn.1001-1420.2019.07.012

预置输尿管导管联合“2+1”缝合法在中央型肾肿瘤腹腔镜肾部分切除术中的应用

- 1. 海军军医大学第三附属医院泌尿外科(上海, 201805);
- 2. 海军军医大学附属公利医院泌尿外科
基金项目:
上海市科学技术委员会优秀学术带头人计划（编号19XD1405100）；上海市医学引导类（中、西医）科技支撑项目（编号17411960200）；浦东新区医学学科建设项目（编号PWYgf2018-03）

详细信息

通讯作者: 崔心刚,E-mail:cuixingang@163.com

中图分类号: R737.11

收稿日期: 2018-07-18

Application of indwelling ureteral catheter combined with “2+1” suturing method in the laparoscopic partial nephrectomy for central renal tumors

- 1. Department of Urology, Third Affiliated Hospital of Naval Medical University, Shanghai, 201805, China;
- 2. Department of Urology, Gongli Hospital, Naval Medical University

More Information

Corresponding author: CUI Xingang, E-mail: cuixingang@163.com

Received Date: 18 July 2018

摘要

摘要: 目的：探讨术前留置输尿管导管联合术中“2+1”缝合法在中央型肾肿瘤腹腔镜下肾部分切除术中的可行性及价值。方法：收集我院自2016年1~6月共15例中央型肾肿瘤患者的临床资料，其中男11例，女4例；平均年龄57.1（38~72）岁；肿瘤平均直径2.7（1.2~4.5） cm；腹侧3例，背侧12例，均为单发肿瘤。统计分析手术时间、热缺血时间、术中出血量、术后并发症等临床资料。结果：15例中央型肾肿瘤患者均顺利完成腹腔镜下肾部分切除术，术后无出血、尿瘘等并发症发生。平均手术时间（105.3±18.6） min，平均热缺血时间（22.9±3.4） min，平均术中出血量（103.3±22.6） ml，平均拔管时间（3.5±0.7） d，平均术后住院时间（7.0±1.0） d。结论：中央型肾肿瘤腹腔镜下肾部分切除术通过术前预置输尿管导管，术中采用“2+1”缝合的方法可以明显缩短术中热缺血时间，减少术后出血、尿瘘的风险，具有临床实际应用的可行性及推广价值。
- 输尿管导管 /
- “2+1”缝合法 /
- 中央型肾肿瘤 /
- 肾部分切除术
Abstract: Objective: To discuss the practicability and values in the preoperative indwelling ureteral catheter combined with intraoperative"2+1"suturing method in the laparoscopic partial nephrectomy for central renal tumors.Method: The data of 15 central renal tumor patients in our hospital from January 2016 to June 2016 were collected.In all patients, 11 cases were male and 4 cases were female, and the average age was 57.1 (range, 38-72) years old.The average diameter of tumor was 2.7 (range, 1.2-4.5) cm.Three cases were ventral tumors and12 cases were dorsal tumors, and all the cases were solitary tumor.The operative time, warm ischemia time, intraoperative bleeding and postoperative complications were collected and analyzed.Result: All these cases were successfully completed laparoscopic partial nephrectomy without the bleeding or urinary fistula complications.The mean operation time was (105.3±18.6) min, and the mean warm ischemia time was (22.9±3.4) min.The average amount of intraoperative bleeding was (103.3±22.6) ml, and the mean time to remove the drain vessel was (3.5±0.7) days.The average duration of postoperative hospital stay was (7.0±1.0) days.Conclusion: In the laparoscopic partial nephrectomy for central renal tumors, preoperative indwelling ureteral catheter combined with intraoperative "2+1" suturing method would shorten warm ischemia time and reduce the risk of postoperative hemorrhage and urinary fistula.This surgical programme has feasibility of clinical application and popularizing values.
- ureteral catheter /
- “2+1” suturing method /
- central renal tumor /
- partial nephrectomy

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