Gill I S, Munch L C, Clayman R V, McRoberts J W, Nickless B, Roemer F D
Division of Urology, University of Kentucky Medical Center, Lexington, USA.
J Urol. 1995 Sep;154(3):1113-6.
We describe a novel double loop renal parenchymal tourniquet for obtaining hemostasis during open and laparoscopic partial nephrectomy.
One loop is positioned around the upper and 1 around the lower renal poles, thus securely entrapping the kidney. During partial nephrectomy the corresponding loop is double looped and cinched, thus achieving a tourniquet effect. The renal artery is not occluded. Intraoperative renal hypothermia is not required.
The renal tourniquet was used clinically during 6 open and 1 laparoscopic partial nephrectomies. Furthermore, during laparoscopic nephrectomy (5 porcine and 1 clinical cases) the double loop apparatus allowed for improved maneuverability of the kidney.
The novel renal tourniquet affords adequate renal parenchymal hemostasis during open and laparoscopic partial nephrectomy.
我们描述了一种新型双环肾实质止血带，用于开放和腹腔镜下部分肾切除术期间实现止血。
一个环置于上肾极周围，另一个环置于下肾极周围，从而牢固地夹住肾脏。在部分肾切除术期间，相应的环进行双环并收紧，从而实现止血带效果。不阻断肾动脉。无需术中肾低温。
该肾止血带在6例开放和1例腹腔镜部分肾切除术中临床应用。此外，在腹腔镜肾切除术（5例猪模型和1例临床病例）中，双环装置提高了肾脏的可操作性。
这种新型肾止血带在开放和腹腔镜部分肾切除术期间能实现充分的肾实质止血。
