Application of highly selective renal artery occlusion in laparoscopic partial nephrectomy
10.3969/j.issn.1007-1989.2018.01.011
- VernacularTitle:高选择性肾动脉阻断技术在腹腔镜下保留肾单位手术中的应用研究
- Author:
Peng-Tao WEI
1
;
Bao-Ping QIAO
;
Han ZHANG
;
Jian-Tao SUN
;
Xing-Tao HAN
;
Wen-Wei LÜ
;
Xiao-Hui LI
Author Information
1. 郑州大学附属洛阳中心医院 泌尿外科
- Keywords:
high-selective renal artery blockage;
complete renal artery blockage;
laparoscope;
nephron-sparing surgery;
renal tumor
- From:
China Journal of Endoscopy
2018;24(1):56-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the feasibility and safety of laparoscopic partial renal segmental artery occlusion and renal artery trunk interruption for partial nephrectomy. Methods We reviewed medical records of 65 patients with stage T1 renal tumor from October 2013 to February 2017. Among them, 29 cases underwent partial nephrectomy with high selective segmental renal artery occlusion, and 36 cases underwent partial nephrectomy with renal artery trunk occlusion. Then compare the preoperative and postoperative creatinine changes, intraoperative blood loss, warm ischemia time, operation time, hospitalization time and positive margins of the two methods. Results In all the patients, the procedures were done without conversion to open surgeries. The operation time of the renal artery branch block group is shorter than that of the main renal artery block, but the preoperative and postoperative creatinine changes are smaller than those of the main renal artery occlusion group. There was no significant difference between the two groups in intraoperative blood loss, warm ischemia time and positive margins (P > 0.05); There was no significant difference between the two groups in age, body mass index (BMI) and R.E.N.A.L score of renal tumor (P > 0.05). Conclusion For the stage T1 renal tumor, the selective renal artery branch interruption technique has a longer operation time, but the renal tissue has a small ischemic zone and has little effect on the kidney.
