Primary experience of intraperitoneal laparoscopic partial nephrectomy with zero ischemia time
10.3969/j.issn.1006-5725.2017.12.021
- VernacularTitle:经腹腹腔镜下零缺血时间行肾部分切除术的初步经验
- Author:
Shaojun JIANG
;
Bin WANG
;
Keji XIE
;
Yuebin CAI
;
Xinghua. WEI
- Keywords:
Renal neoplasms;
Laparoscopy;
Zero ischemia;
Partial nephrectomy
- From:
The Journal of Practical Medicine
2017;33(12):1979-1981
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and clinical efficacy of intraperitoneal laparoscopic partial nephrectomy for T1a peripheral renal neoplasms. Methods Intraperitoneal laparoscopic partial nephrectomy was performed without renal artery occlusion for T1a peripheral peripheral renal neoplasms. The operative time, bleeding volume and complications were observed and the clinical experience was summarized. Results From October 2014 to January 2017 ,there were 10 patients:7 males and 3 females. All patients had T1a peripheral renal tumors. 10 patients underwent operation successfully ,of which 1 case developed temporarily blocked renal artery in the surgery due to hemorrhage. There was no referral during surgeries. The operative duration was 108 to 210 min,with a median of 135 min. The estimated blood loss was 100 to 750 mL,with a median of 320 mL. Followed up duration was 2 to 24 months (median 12 months),there were not postoperative renal secondary bleeding , leakage and other complications. No recurrence of tumor was found. Conclusion It is feasible and safe to exercise intraperitoneal laparoscopic partial nephrectomy without renal artery occlusion in the treatment of T 1a peripheral renal tumors,which can protect renal function to the greatest extent.
