Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, People's Republic of China.
Surg Endosc. 2010 Jun;24(6):1494-7. doi: 10.1007/s00464-009-0782-y. Epub 2009 Dec 24.
The Hem-o-lok polymer clip has become the preferred method to control large vessels during operation. We explored the advantages of application of the Hem-o-lok ligation system in laparoscopic nephrectomy.
From January 2004 to May 2009, 116 laparoscopic nephrectomies were performed using Hem-o-lok clips to control renal artery and vein, including 22 simple nephrectomies, 63 radical nephrectomies, and 31 nephroureterectomies. Operative time, estimated intraoperative blood loss, recovery time of intestinal function, postoperative hospital day, as well as complication rate were recorded and studied retrospectively. The number and cost of Hem-o-lok clips were analyzed.
All 116 laparoscopic nephrectomies using Hem-o-lok clips for renal pedicle control were accomplished successfully without conversion to open surgery. No intra/postoperative vascular complications or other clip-related complications occurred. Laparoscopic operating time was 14-275 min (average 146.5 min). Estimated blood loss was 25-600 ml (average 159.2 ml). Mean recovery time of intestinal function was 30.4 h (range 16-72 h). Postoperative hospital stay was 4-22 days, with an average of 7.3 days. The mean number of Hem-o-lok clip used per operation was 5.3 (range 4-8).
Use of the Hem-o-lok ligation system to control renal pedicle is safe and reliable for laparoscopic simple/radical nephrectomy.
Hem-o-lok 聚合物夹已成为手术中控制大血管的首选方法。我们探讨了在腹腔镜肾切除术中应用 Hem-o-lok 结扎系统的优势。
自 2004 年 1 月至 2009 年 5 月，我们使用 Hem-o-lok 夹控制肾动静脉，对 116 例腹腔镜肾切除术进行了研究，其中包括 22 例单纯性肾切除术、63 例根治性肾切除术和 31 例肾输尿管切除术。记录并回顾性研究了手术时间、术中估计失血量、肠道功能恢复时间、术后住院时间以及并发症发生率。分析了 Hem-o-lok 夹的数量和成本。
所有 116 例使用 Hem-o-lok 夹控制肾蒂的腹腔镜肾切除术均成功完成，无中转开放手术。无术中/术后血管并发症或其他与夹子相关的并发症发生。腹腔镜手术时间为 14-275 min（平均 146.5 min）。估计失血量为 25-600 ml（平均 159.2 ml）。肠道功能恢复时间平均为 30.4 h（范围 16-72 h）。术后住院时间为 4-22 天，平均为 7.3 天。平均每例手术使用 Hem-o-lok 夹 5.3 个（范围 4-8 个）。
Hem-o-lok 结扎系统用于控制腹腔镜单纯/根治性肾切除术的肾蒂是安全可靠的。
