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目的 探索和运用手辅助腹腔镜技术切除供肾并行肾移植术 ,了解该方法的优缺点及临床应用的可行性。方法 用成年狗作动物实验进行手辅助腹腔镜供肾切除术并移植 ,观察并记录手术时间 ,供肾热缺血时间 ,移植肾功能恢复情况及供者的康复情况等。结果 实验狗术后均存活 ,供肾切除手术时间平均 13 2min ;肾热缺血时间平均 83s ,移植肾再灌注后排尿时间平均 74s。结论 手辅助腹腔镜活体供肾切除术易于掌握 ;手术时间短 ;供肾热缺血时间短 ,质量好 ;供肾者手术创伤小 ,术后恢复快 ;是临床值得推广应用的一种活体供肾切除方法
Objective To explore and use hand-assisted laparoscopic resection of kidney for renal transplantation, to understand the advantages and disadvantages of the method and the feasibility of clinical application. Methods The hand-assisted laparoscopic nephrectomy was performed in adult dogs for transplantation. The operation time, the time of renal ischemia, the recovery of renal function and the recovery of donor were observed and recorded. Results The experimental dogs survived postoperatively, the average time for nephrectomy was 132 min, the duration of renal ischemia was 83 s, and the urination time was 74 s after transplanted renal reperfusion. Conclusions Hand-assisted laparoscopic live donor nephrectomy is easy to grasp; the operation time is short; the thermal ischemia of kidney is short and of good quality; the trauma of the donor kidney is small and the postoperative recovery is fast; it is a living donation worthy of clinical application Nephrectomy method