一种用于供体肾切除术的腹膜外前路切口，该切口可保留腹直肌和前腹壁神经。
An anterior extraperitoneal incision for donor nephrectomy that spares the rectus abdominis muscle and anterior abdominal wall nerves.
作者信息
Redman J F
机构信息
Department of Urology, University of Arkansas College of Medicine and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
出版信息
J Urol. 2000 Dec;164(6):1898-900.
PURPOSE
To perform open donor nephrectomy with the least amount of body alteration and complication, a short extraperitoneal incision was developed that preserves the ipsilateral rectus abdominis muscle and abdominal branches of the intercostal nerves.
MATERIALS AND METHODS
Donor nephrectomy using the new incision was performed in 11 consecutive patients.
RESULTS
Morphine was required for pain relief for 1 to 3 days (mean 1.8), patients tolerated diet at 1 to 4 days (mean 2.2) and postoperative stay was 2 to 5 days (mean 3.5). Complications were minimal, consisting of postoperative fever 1 day in duration. A viable kidney was provided for transplantation in each case.
CONCLUSIONS
The extraperitoneal, rectus abdominis muscle and nerve sparing incision resulted in a short course of pain medication, early diet toleration and a short hospital stay.
目的
为了以最少的身体改变和并发症进行开放性供体肾切除术，开发了一种短的腹膜外切口，该切口保留同侧腹直肌和肋间神经的腹部分支。
材料与方法
连续11例患者采用新切口进行供体肾切除术。
结果
术后1至3天（平均1.8天）需要使用吗啡止痛，患者在术后1至4天（平均2.2天）能耐受饮食，术后住院时间为2至5天（平均3.5天）。并发症极少，仅术后持续1天发热。每例均提供了一个可用于移植的存活肾脏。
结论
腹膜外、保留腹直肌和神经的切口导致止痛药物使用疗程短、能早期耐受饮食且住院时间短。
Zotero 插件