Walters Rustin Chanc, Collins Michelle Marie, L'Esperance James Omer
Urology Department, Naval Medical Center San Diego, San Diego, California 92134-7200, USA.
Curr Opin Urol. 2006 Sep;16(5):327-31. doi: 10.1097/01.mou.0000240303.88508.6c.
To review the current techniques and technologies being used for hemostatic control during laparoscopic partial nephrectomy.
Laparoscopic nephron-sparing surgery has become more common for the treatment of renal masses. With increasing experience, the indications for nephron sparing are increasing. Despite the increased use of these techniques in high-volume centers, however, more widespread application has been limited because of the need for advanced laparoscopic skills including the laparoscopic control of intraoperative renal bleeding. As a result, many techniques have been developed to achieve hemostasis, including conventional suture repair, tissue sealants, radiofrequency ablation, lasers, water dissection, and microwave tissue coagulation.
Laparoscopic partial nephrectomy is a technically challenging procedure. Many promising techniques are being developed currently, most geared toward improved hemostasis and collecting system repair. These techniques and products have made, and will continue to make, the procedure less demanding and more universally accepted.
回顾目前在腹腔镜肾部分切除术中用于控制止血的技术和工艺。
腹腔镜保留肾单位手术在肾肿块治疗中已变得更为常见。随着经验的增加，保留肾单位的适应证也在增加。然而，尽管这些技术在高容量中心的使用有所增加，但由于需要先进的腹腔镜技术，包括术中对肾脏出血的腹腔镜控制，其更广泛的应用受到了限制。因此，已经开发了许多实现止血的技术，包括传统的缝合修复、组织密封剂、射频消融、激光、水分离和微波组织凝固。
腹腔镜肾部分切除术是一项技术上具有挑战性的手术。目前正在开发许多有前景的技术，大多数旨在改善止血和集合系统修复。这些技术和产品已经并将继续使该手术的要求降低且更被广泛接受。
