Modi Pranjal, Kadam Gaurang, Devra Amit
Department of Urology, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, India.
Urology. 2007 May;69(5):832-4. doi: 10.1016/j.urology.2007.01.031.
To determine the feasibility of obtaining an adequate cuff of the inferior vena cava (IVC) for vascular anastomosis during retroperitoneoscopic donor nephrectomy.
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.
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.
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.
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。
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。
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。
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。
