[部分肾切除术中的夹闭方式：技术要点及功能影响。法国泌尿外科学会癌症学委员会（CCAFU）综述]
[Clamping modalities during partial nephrectomy: technical aspects and functional consequences. Review by the Comité de cancérologie de l'Association française d'urologie (CCAFU)].
作者信息
Neuzillet Y, Long J A, Paparel P, Baumert H, Correas J M, Escudier B, Lang H, Poissonnier L, Rioux-Leclercq N, Salomon L, Soulie M, Patard J-J
机构信息
Service d'urologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France.
出版信息
Prog Urol. 2009 Sep;19(8):524-9. doi: 10.1016/j.purol.2009.04.007. Epub 2009 May 28.
Partial nephrectomy requires control of renal blood flow by using renal vessels clamping. Multiple clamping techniques are available. The clamping procedure can be parenchymal or vascular, involving enbloc arterial and veinous clamping or arterial onlone, being continuous or intermittent, associated or not with renal cooling. The purpose of this present review was to analyze technical aspects of clamping methods during partial nephrectomy and their functional consequences in terms of blood loss, surgical margins status and changes in renal function.
部分肾切除术需要通过使用肾血管夹闭来控制肾血流。有多种夹闭技术可供选择。夹闭操作可以是实质的或血管的，包括整块动脉和静脉夹闭或仅动脉夹闭，持续或间断夹闭，是否伴有肾降温。本综述的目的是分析部分肾切除术期间夹闭方法的技术方面及其在失血、手术切缘情况和肾功能变化方面的功能后果。
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