[1]钟晓,兰卫华,王洛夫,等.机器人肾移植术围手术期疗效分析[J].陆军军医大学学报(原第三军医大学学报),2022,44(18):1862-1866.
 ZHONG Xiao,LAN Weihua,WANG Luofu,et al.Efficacy of robotic renal transplantation in perioperative period [J].J Amry Med Univ (J Third Mil Med Univ),2022,44(18):1862-1866.
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机器人肾移植术围手术期疗效分析(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
44卷
期数:
2022年第18期
页码:
1862-1866
栏目:
临床医学
出版日期:
2022-09-30

文章信息/Info

Title:
Efficacy of robotic renal transplantation in perioperative period
 
作者:
钟晓兰卫华王洛夫张尧张军聂志林李珂袁刚舒泽华童大力李耀明刘秋礼王鹏江军
陆军特色医学中心泌尿外科
Author(s):
ZHONG Xiao LAN Weihua WANG Luofu ZHANG Yao ZHANG Jun NIE Zhilin LI Ke YUAN Gang SHU Zehua TONG Dali LI Yaoming LIU Qiuli WANG Peng JIANG Jun

Department of Urology, Army Medical Center of PLA, Chongqing, 400042, China

关键词:
机器人肾移植肾移植围手术期
Keywords:
robot-assisted kidney transplantation kidney transplantation perioperative period
分类号:
R616; R617; R699.2
文献标志码:
A
摘要:

目的初步探讨机器人辅助腹腔镜肾移植术(robotic-assisted kidney transplantation, RAKT)围手术期的安全性及有效性。方法收集2018年6月至2022年3月陆军特色医学中心泌尿外科行肾移植术的14例患者资料,其中男性8例,女性6例,年龄22~45岁。采用活体供肾机器人辅助腹腔镜下肾移植术4例(RAKT组),采用尸体供肾开放肾移植术(open kidney transplantation, OKT)10例(OKT组)。回顾性分析2组患者的动静脉吻合时间、术后住院时间、手术前后血肌酐值、术中出血量及术后并发症等。结果14例患者均顺利完成手术,术中出血量RAKT组为(162.5±47.8)mL,明显低于OKT组的(245.1±68.5)mL(P<0.05);RAKT组动脉吻合时间为(32.5±6.5)min,OKT组为(24.3±5.3)min;RAKT组静脉吻合时间为(16.5±3.8)min,OKT组为(14.6±1.5)min;RAKT组术后7 d血肌酐(98.1±33.2)μmol/L,OKT组为(142.8±42.1)μmol/L;引流管留置时间OKT组为(10.0±1.2) d,明显长于RAKT组的(6.5±0.5) d (P<0.01);术后住院时间RAKT组为(13.0±2.5) d,明显短于OKT组的(16.3±2.1) d (P=0.01)。结论初步证实RAKT围手术期安全有效,术后并发症较OKT少。

Abstract:

ObjectiveTo preliminarily investigate the safety and effectiveness of robot-assisted kidney transplantation (RAKT) in the perioperative period. MethodsClinical data of 14 patients undergoing renal transplantation in our department from June 2018 to March 2022 were collected and retrospectively analyzed. They were 8 males and 6 females, and at an age of 22 to 45 years. There were 4 patients receiving robotic-assisted laparoscopic living-donor kidney transplantation (RAKT group), and 10 cases receiving open kidney transplantation (OKT group) with deceased donor kidney. Arterio-venous anastomoses (AVAs) time, length of post-operative stay, pre- and post-operative serum creatinine levels, intraoperative blood loss, and incidence of post-operative complications were retrospectively analyzed between the patients of the 2 groups. ResultsThe surgeries went well in the 14 patients. The amount of intraoperative blood loss was 162.5±47.8 mL in the RAKT group and 245.1±68.5 mL in the OKT group(P<0.05). The arterial anastomosis time was 32.5±6.5 min in the RAKT group and 24.3±5.3 min in the OKT group. The venous anastomosis time was 16.5±3.8 min in the RAKT group and 14.6±1.5 min in the OKT group. The blood creatinine level was 98.1±33.2 μmol/L in the RAKT group and 142.8±42.1 μmol/L in the OKT group in 7 d after surgery. The retention time of drainage tube was 10.0±1.2 d in the OKT group and 6.5±0.5 d in the RAKT group(P<0.01). The length of stay after surgery was 13.0±2.5 d in the RAKT group and 16.3±2.1 d in the OKT group(P=0.01). ConclusionRAKT is safer than OKT in the perioperative period and causes fewer postoperative complications. 

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更新日期/Last Update: 2022-09-23