Kim Taek Sang, Hattori Ryohei, Yoshino Yasushi, Komatsu Tomonori, Matsukawa Yoshihisa, Gotoh Momokazu, Ono Yoshinari
Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
J Endourol. 2007 Aug;21(8):879-82. doi: 10.1089/end.2006.0436.
Upper-pole apical renal tumors are difficult to see using conventional rigid laparoscopes during laparoscopic partial nephrectomy. Added to this, the instrument angle makes tumor excision and kidney reconstruction difficult. We therefore elevated the kidney using a gauze sling and observed the lesion through a flexible laparoscope. With a clear field of vision, we could excise tumors and repair the kidney more easily.
在腹腔镜下部分肾切除术期间,使用传统的硬性腹腔镜很难看到肾上极的顶端肿瘤。此外,器械角度使得肿瘤切除和肾脏重建变得困难。因此,我们使用纱布吊带抬高肾脏,并通过软性腹腔镜观察病变。视野清晰后,我们能够更轻松地切除肿瘤并修复肾脏。