Clinical research of routine renal artery and vein control using the Hem-o-lok clips in retroperitoneal laparoscopic nephrectomy (report of 34 cases)
- VernacularTitle:Hem-o-lok结扎夹常规处理后腹腔镜肾切除术中肾动静脉的临床研究(附34例报告)
- Author:
Delin WANG
- Publication Type:Journal Article
- Keywords:
Nephrectomy;
Laparoscopy;
Retroperitoneum;
Renal cell carcinoma;
Renal pelvis cancer
- From:
Journal of Chongqing Medical University
2007;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the safety and efficiency of polymer clip (Hem-o-lok) for routine control of renal artery and vein during retroperitoneal laparoscopic nephrectomy (RLPN). Methods: From June 2007 to June 2009, 34 patients underwent RLPN, Of which 21 cases of renal cell carcinoma, 5 cases of renal pelvis/ureter cancer, 3 cases of non-functioning kidney and renal atrophy, 5 cases of renal tuberculosis. Renal arterial and venous control were achieved solely by the Hem-o-lok clips where at least two clips were applied on the patient side. Results: 31 cases of RLPN were successful, because 2 cases due to severe adhesions and bleeding, 1 case due to equipment failure during laparoscopic procedure, diverted open nephrectomy. Renal arterial and venous control using the Hem-o-lok clips were successful without any slipping of clips or uncontrolled bleeding. The mean Operating time was 100 minutes (60~150 minutes), the mean blood loss was 90 ml (50~200 ml) without blood transfusion. Follow-up was carried out for 1-24 months, no recurrence found in any patients with renal tumor or ureter tumor; 5 cases of renal tuberculosis recovered smoothly by further anti-tuberculosis treatment; one patient suffered from serious retroperitoneal inflammation, recovered smoothly after close anti-sepsis; a sense of wound pain, numbness in 3 patients, disappeared after 6 months. Conclusion: The Hem-o-lok clip is a safe, convenient and economical device for vascular control in RLPN. RLPN with minimal invasion is expected to become the first choice for nephrectomy.
