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目的:探讨单孔后腹腔镜活体供肾切取术的安全性和可行性。方法:对4例亲属活体供肾者取腰部7cm切口,采用自制单孔多通道设备、常规腹腔镜操作器械完成单孔后腹腔镜活体供肾切取术。结果:本组平均手术时间160min,出血30～350ml,热缺血时间2～4min。开放血流后,4例供肾均在1min内泌尿,移植肾功能术后3天内均恢复正常;供者术后肾功能正常,5～6天出院,无手术并发症。结论:自制单孔多通道设备行后腹腔镜活体供肾切取术临床可行,安全可靠,费用低,可进一步减轻供者创伤,是一种有广阔应用前景的手术方式;能否替代传统腹腔镜活体供肾切取术还需进行前瞻、随机、对照研究。
Objective: To investigate the safety and feasibility of single-hole laparoscopic living donor nephrectomy. Methods: 4 cases of relatives living donor kidney were taken 7cm waist incision, using homemade single-hole multi-channel equipment, conventional laparoscopic instrumentation to complete single-hole laparoscopic living donor excision. Results: The average operation time in this group 160min, bleeding 30 ~ 350ml, warm ischemic time 2 ~ 4min. Open blood flow, 4 cases of urinary urinary urinary tract within 1min, 3 days after transplantation, renal function returned to normal; donor renal function was normal, 5 to 6 days discharged without complications. Conclusion: Self-laparoscopic multi-channel self-laparoscopic retrograde laparoscopic nephrectomy is feasible, safe and reliable, with low cost, which can further reduce the donor’s trauma. It is a promising surgical method and can replace traditional laparoscopic Live donor nephrectomy also need prospective, randomized, controlled study.