机器人辅助腹腔镜同种异体肾移植术的早中期结果

doi:10.19558/j.cnki.10-1020/r.2021.02.002

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摘要 目的： 评估机器人肾移植术围手术期及早中期结果。方法： 2018年3月-2019年1月泌尿外科完成8例机器人辅助腹腔镜同种异体肾移植术,其中男5例,女3例,回顾性分析全部患者的临床资料及术后随访结果,数据用平均值及标准差表示。患者年龄（26±6）岁,体质量指数（20.3±4.1）kg/m²,术前血肌酐（1 043.2±253.6）μmol/L。供者左肾全部经后腹腔切取。结果： 8例患者全部顺利完成手术,术后7 d血肌酐（110.6±29.7）μmol/L;术后1年血肌酐（106.1±20.8）μmol/L;术后2年血肌酐（6例）（104.4±24.7）μmol/L。手术总时间（169.4±25.4）min,热缺血时间（1.6±0.7）min,复温时间（45±6）min。结论： 机器人同种异体肾移植术安全、可行,术后并发症发生率低,康复快,移植肾中短期存活良好。

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	赵鉴明
	范阳
	陈欣
	黄双
	高宇
	袁清
	郝晓伟
	祖强
	张磊
	张旭
	董隽

关键词 ：机器人同种异体肾移植术, 术后随访, 局部低温

Abstract：Objective： To evaluate perioperative and early postoperative robotic kidney transplantation outcomes. Methods： We retrospectively analyzed the clinical data and postoperative follow-up outcomes of 8 patients who underwent robotic kidney transplantation in Chinese PLA General Hospital from Mar. 2018 to Mar. 2019. Data were expressed as mean and standard deviation. The age was （26 ± 6） years old. Body mass index （BMI） was （20.3 ± 4.1） kg/m2. Preoperative serum creatinine was （1 043.2 ± 253.6） μmol/L. All the donors underwent retroperitoneal laparoscopic left living donor nephrectomy. Results： All 8 patients completed the operation successfully. The serum creatinine was （110.6 ± 29.7） μmol/L on postoperative day 7, （106.1 ± 20.8） μmol/L at 1-year follow-up, and （104.4 ± 24.7） μmol/L at 2-year follow-up （6 cases）. The total operation time was （169.4 ± 25.4） min, the warm ischemia time was （1.6 ± 0.7） min, and the re-warming time was （45 ± 6） min. Conclusions： Robotic kidney transplantation is safe and feasible. Postoperative complication rate is low and postoperative recovery is rapid. The short- to medium-term renal transplantation survives well.

Key words： robotic kidney transplantation postoperative follow-up regional hypothermia

收稿日期: 2020-10-09

通讯作者: 张旭,xzhang@foxmail.com;董隽,jundong@vip.126.com

引用本文:

赵鉴明, 范阳, 陈欣, 黄双, 高宇, 袁清, 郝晓伟, 祖强, 张磊, 张旭, 董隽. 机器人辅助腹腔镜同种异体肾移植术的早中期结果[J]. 微创泌尿外科杂志, 2021, 10(2): 80-83.
ZHAO Jianming, FAN Yang, CHEN Xin, HUANG Shuang, GAO Yu, YUAN Qing, HAO Xiaowei, ZU Qiang, ZHANG Lei, ZHANG Xu, DONG Jun. Early and Mid-Term Results of Robot-Assisted Laparoscopic Kidney Transplantation. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(2): 80-83.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1659.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I2/80

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