Benderev T V, Schaeffer A J
Lasers Surg Med. 1985;5(4):415-21. doi: 10.1002/lsm.1900050408.
Partial nephrectomy is effective in the treatment of segmental renal disease but hemostasis remains a challenge. In this preliminary investigation the Nd:YAG laser was used alone or as an adjunct to the scalpel in partial nephrectomies to determine if hemostasis could be improved. A technique of 100-W laser transection with occlusion of the renal artery was effective for partial nephrectomy and achieved complete hemostasis. Conditions of patent renal artery flow or renal cooling were associated with a reduction in necrosis depth with 100-W laser partial nephrectomies. All techniques were compatible with survival over the 5-day study period.
部分肾切除术对节段性肾病的治疗有效，但止血仍然是一项挑战。在这项初步研究中，钕钇铝石榴石激光单独使用或作为手术刀的辅助工具用于部分肾切除术，以确定是否可以改善止血效果。一种100瓦激光横切并阻断肾动脉的技术对部分肾切除术有效，并实现了完全止血。肾动脉血流通畅或肾脏冷却的情况与100瓦激光部分肾切除术时坏死深度的降低有关。在为期5天的研究期间，所有技术都与生存率兼容。
