在腹膜后腹腔镜右侧供肾肾切除术使用Endo-TA吻合器获取下腔静脉袖片
Obtaining cuff of inferior vena cava by use of the Endo-TA stapler in retroperitoneoscopic right-side donor nephrectomy.
作者信息
Modi Pranjal, Kadam Gaurang, Devra Amit
机构信息
Department of Urology, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, India.
出版信息
Urology. 2007 May;69(5):832-4. doi: 10.1016/j.urology.2007.01.031.
OBJECTIVES
To determine the feasibility of obtaining an adequate cuff of the inferior vena cava (IVC) for vascular anastomosis during retroperitoneoscopic donor nephrectomy.
METHODS
Between September 2004 and May 2005, a total 100 retroperitoneoscopic donor nephrectomies were performed. Fifteen cases were performed on the right side. The Endo-TA stapler was used to obtain the cuff of IVC in all cases of right-side donor nephrectomy.
RESULTS
Mean warm ischemia time was 4.9 minutes (range, 2.96 to 8.0 minutes). Mean length of the cuff of IVC was 4 mm (range, 3 to 6 mm) at the upper end and 6 mm (range, 4 to 8 mm) at the lower end of the vein. All grafts functioned immediately, and there was one graft loss due to vascular rejection.
CONCLUSIONS
Control of the renal vein by use of the Endo-TA stapler during retroperitoneoscopic donor nephrectomy helps in obtaining a good vascular cuff of the IVC.
目的
确定在腹膜后腹腔镜供肾切除术期间获取足够长度的下腔静脉（IVC）袖套用于血管吻合的可行性。
方法
在2004年9月至2005年5月期间，共进行了100例腹膜后腹腔镜供肾切除术。其中15例为右侧手术。在所有右侧供肾切除术中均使用Endo-TA吻合器获取IVC袖套。
结果
平均热缺血时间为4.9分钟（范围为2.96至8.0分钟）。IVC袖套静脉上端平均长度为4毫米（范围为3至6毫米），下端平均长度为6毫米（范围为4至8毫米）。所有移植肾均立即发挥功能，有1例因血管排斥反应导致移植肾丢失。
结论
在腹膜后腹腔镜供肾切除术期间使用Endo-TA吻合器控制肾静脉有助于获取良好的IVC血管袖套。
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