Technique of dissecting renal pedicle marked by gonadal vessels in transperitoneal laparoscopy

doi:10.3877/cma.j.issn.1674-6899.2019.01.010

Abstract

Abstract:

Objective

To explore the technique of dissecting renal pedicle marked by gonadal vessels in transperitoneal laparoscopy.

Methods

From May 2014 to Jul. 2018, 72 cases of laparoscopic nephrectomy were performed by the same surgeon in our department, including 42 cases of simple nephrectomy (28 cases of infectious nonfunctional kidney, including 10 cases of renal tuberculosis, 4 cases of simple nonfunctional kidney), 22 cases of radical nephrectomy and 8 cases of total nephroureterectomy. The renal pedicle was dissected by the method of gonadal vessel, and the renal pedicle was treated with Hem-o-lok.

Results

Seventy-two cases were successful. The gonadal vessels were exposed in all cases and the gonadal vessels was regarded as the marker for dissecting renal pedicle. The operation time was(148±68)min and the volume of bleeding was about (80±57)ml. There was no conversion to open surgery and no peripheral organ injury.

Conclusions

The procedure of dissecting renal pedicle vessels marked by gonadal vessels can increase the safety of laparoscopic nephrectomy and shorten the operation time.

Key words: Gonadl vessels, Laparoscopy, Nephrectomy

Hailun Zhan, Fei Yang, Tengcheng Li, Wenbiao Li, Jiarong Cai, Yunhua Mao, Yun Luo, Xiangfu Zhou. Technique of dissecting renal pedicle marked by gonadal vessels in transperitoneal laparoscopy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(01): 53-56.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2019.01.010

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2019/V12/I01/53

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References 18

1	Taue R, Izaki H, Koizumi T, et al. Transperitoneal versus retroperitoneal laparoscopic radical nephrectomy: a comparative study[J]. International Journal of Urology, 2010, 16(3):263-267.
2	Okegawa T, Noda H, Horie S, et al. Comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy for renal cell carcinoma: a single－center experience of 100 cases[J]. International Journal of Urology Official Journal of the Japanese Urological Association, 2010, 15(11):957-960.
3	Chen Y, Zheng H, Liang G, et al. Comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy for nonfunctional tuberculous kidneys: a single－center experience[J]. Journal of Laparoendoscopic & Advanced Surgical Techniques，2018, 28(3): 325-329.
4	Garg M, Singh V, Sinha RJ, et al. Prospective randomized comparison of transperitoneal vs retroperitoneal laparoscopic simple nephrectomy[J]. Urology, 2014, 84(2):335-339.
5	张雷，姚林，李学松，等. 经腹腹腔镜肾切除手术的肾蒂处理技术：单一术者191例经验总结[J]. 北京大学学报(医学版), 2014, 46(4):537-540.
6	Munoz－Rodriguez J, Prera A, Dominguez A, et al. Laparoscopic partial nephrectomy: comparative study of the transperitoneal pathway and the retroperitoneal pathway[J]. Actas Urol Esp, 2018, 42(4): 273-279.
7	王浩飞，徐兆平，黄欣，等．经腹膜后和经腹腹腔镜下肾根治性切除术的比较[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2015, 9(4):5-8.
8	陈光彪，湛海伦，周建新，等. 腹腔镜结核性无功能肾切除的手术技巧[J/CD]. 中华腔镜外科杂志(电子版), 2015, 8(4): 280-284.
9	Gahlawat S, Sood R, Sharma U, et al. Can preoperative clinicoradiological parameters predict the difficulty during laparoscopic retroperitoneal simple nephrectomy: a prospective study[J]. Urology Annals, 2018, 10(2):191-197.
10	贾卓敏，艾星，孙凤岭，等. 经腹腹腔镜技术治疗上尿路尿路上皮癌52例报告[J]. 临床泌尿外科杂志，2012, 27(11): 834-835.
11	Zaidi Z, Samad L, Aquil S. Laparoscopic nephrectomy: technique and outcome[J]. Jpma the Journal of the Pakistan Medical Association, 2007, 57(7):355-359.
12	Porpiglia F, Terrone C, Cracco C, et al. Early ligature of renal artery during radical laparoscopic transperitoneal nephrectomy: description of standard technique and direct access[J]. Journal of Endourology, 2005, 19(6):623-627.
13	Ren T, Liu Y, Zhao X, et al. Transperitoneal approach versus retroperitoneal approach: a meta－analysis of laparoscopic partial nephrectomy for renal cell carcinoma[J]. Plos One, 2014, 9(3):91978-91978.
14	Desai MM, Strzempkowski B, Matin SF, et al. Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy[J]. J Urol, 2005, 173(1): 38-41.
15	Fan X, Xu K, Lin T, et al. Comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy for renal cell carcinoma: a systematic review and meta－analysis[J]. Bju International, 2013, 111(4):611-621.
16	陶舒敏，张喆，文吉秋，等. 多层螺旋CT在活体肾移植术前左肾静脉解剖评估中的价值[J/CD]. 实用器官移植电子杂志，2016, 4(4):213-216.
17	郭学利，赵渝，时德. 肾静脉以下段下腔静脉的形态特点及其临床意义[J]. 中国临床解剖学杂志，2002, 20(6):438-440.
18	黄细汉，湛海伦，周祥福，等. 后腹腔镜巨大肾积水切除的手术技巧[J/CD]. 中华腔镜外科杂志(电子版), 2015，8(1):62-64.

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