Galanakis I, Vasdev N, Soomro N
Department of Urology, Freeman Hospital Newcastle upon Tyne, United Kingdom.
Rev Urol. 2011;13(3):131-8.
Laparoscopic partial nephrectomy (LPN) is currently considered to be one of the most challenging procedures in minimally invasive urological surgery. With an increasing number of renal tumors being managed using LPN, there is now a further interest in the development of techniques and agents to reduce complications associated with the procedure. Hemostasis is of paramount importance during LPN, and hemostatic agents and tissue sealants are now being used commonly during LPN. Despite this, there is a dearth of prospective, randomized, human trials in current literature that compare the various agents. This review evaluates hemostatic agents and tissue sealants being used during LPN as an adjuvant to suturing in human studies.
腹腔镜部分肾切除术（LPN）目前被认为是微创泌尿外科手术中最具挑战性的手术之一。随着越来越多的肾肿瘤采用LPN进行治疗，目前人们对开发减少该手术相关并发症的技术和药物的兴趣进一步增加。在LPN过程中，止血至关重要，目前LPN过程中常用止血剂和组织密封剂。尽管如此，当前文献中缺乏比较各种药物的前瞻性、随机人体试验。本综述评估了在人体研究中作为缝合辅助手段用于LPN的止血剂和组织密封剂。
