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中华腔镜外科杂志(电子版) ›› 2020, Vol. 13 ›› Issue (04): 244 -246. doi: 10.3877/cma.j.issn.1674-6899.2020.04.011

所属专题: 经典病例 经典病例 文献资源库

病例报告 上一篇    下一篇

腹腔镜胃切除术后急性肾衰竭两例及文献复习
高鹏 1, 张战胜 1, 周帅 1, 王楠 1, 何显力 1 , ( )   
  1. 1. 710038 西安,空军军医大学唐都医院普通外科
  • 收稿日期:2020-07-02 出版日期:2020-08-30
  • 通信作者: 何显力

Acute renal failure after laparoscopic gastrectomy: a report of 2 cases and literature review

Peng Gao 1, Zhansheng Zhang 1, Shuai Zhou 1, Nan Wang 1, Xianli He 1 , ( )   

  1. 1. Department of General Surgery, Tangdu Hospital, Air Force Medical University, Xi′an 710038, China
  • Received:2020-07-02 Published:2020-08-30
  • Corresponding author: Xianli He
  • About author:
    Corresponding author: He Xianli, Email:
目的

通过分析腹腔镜胃切除术后急性肾衰竭的病例,探讨二氧化碳气体(CO2)气腹对腹腔镜胃癌根治术后肾功能的影响及预防措施。

方法

回顾分析2例腹腔镜胃癌根治术后出现急性肾衰竭患者的临床表现、辅助检查、临床治疗等,结合相关文献复习,对CO2气腹对腹腔镜胃癌根治术后肾功能的影响及预防措施进行相关讨论。

结果

患者经过连续肾脏替代治疗等处置,肾功能逐步好转。

结论

腹腔镜胃切除术后急性肾衰竭临床发生率低,治疗上经验不足,对于术前存在肾功能不全且合并高血压、糖尿病、冠心病等基础疾病的患者,应慎重选择腹腔镜手术治疗。

Objective

To explore the effect and preventive measures of carbon dioxide pneumoperitoneum on renal function after laparoscopic radical gastrectomy for gastric cancer by analyzing the cases of acute renal failure after laparoscopic gastrectomy.

Methods

The clinical manifestations, auxiliary examinations and clinical treatments of 2 patients with acute renal failure after laparoscopic radical resection of gastric cancer were retrospectively analyzed, combined with the review of related literatures. The effects of carbon dioxide pneumoperitoneum on renal function and preventive measures after laparoscopic radical gastrectomy were discussed.

Results

After continuous renal replacement therapy, the renal function was gradually improved.

Conclusions

The clinical incidence of acute renal failure after laparoscopic gastrectomy is low and the treatment experience is rare. Laparoscopic surgery should be carefully selected for patients with renal insufficiency and complicated with basic diseases such as hypertension, diabetes, coronary heart disease and so on.

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