Bi Sheng, Xia Ming
Department of Urology, Yiyang Central Hospital, Yiyang 413000, Hunan Province, China.
Department of Urology, Beijing Shijitan Hospital of Capital Medical University, Beijing 100038, China, Email:
Zhonghua Yi Xue Za Zhi. 2015 Aug 11;95(30):2462-4.
To compare the validity and safety between holmium: YAG laser and traditional surgery in partial nephrectomy.
A total of 28 patients were divided into two groups (holmium: YAG laser group without renal artery clamping and traditional surgery group with renal artery clamping). The intraoperative blood loss, total operative time, renal artery clamping time, postoperative hospital stay, separated renal function, postoperative complications and depth of tissue injury were recorded.
The intraoperative blood loss, total operative time, renal artery clamping time, postoperative hospital stay, separated renal function, postoperative complications and depth of tissue injury were 80 ml, 77 min, 0 min, 7.4 days, 35 ml/min, 0, 0.9 cm, respectively, in holmium: YAG laser group. And in traditional surgery group were 69 ml, 111 min, 25.5 min, 7.3 days, 34 ml/min, 0, 2.0 cm, respectively. The differences of total operative time, renal artery clamping time and depth of tissue injury between two groups were statistically significant. The others were not statistically significant.
Holmium: YAG laser is effective and safe in partial nephrectomy. It can decrease the total operative time, minimize the warm ischemia time and enlarge the extent of surgical excision.
比较钬激光与传统手术在部分肾切除术中的有效性和安全性。
将28例患者分为两组（钬激光组不阻断肾动脉，传统手术组阻断肾动脉）。记录术中出血量、总手术时间、肾动脉阻断时间、术后住院时间、分肾功能、术后并发症及组织损伤深度。
钬激光组术中出血量、总手术时间、肾动脉阻断时间、术后住院时间、分肾功能、术后并发症及组织损伤深度分别为80ml、77min、0min、7.4天、35ml/min、0、0.9cm。传统手术组分别为69ml、111min、25.5min、7.3天、34ml/min、0、2.0cm。两组总手术时间、肾动脉阻断时间及组织损伤深度差异有统计学意义，其余差异无统计学意义。
钬激光在部分肾切除术中有效且安全。它可缩短总手术时间，减少热缺血时间并扩大手术切除范围。
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