泌尿外腹腔镜手术Hem-o-lok误夹下腔静脉的处理与探讨（附3例报告）

向雪宝; 蒋雷鸣; 黄洁夫; 张天禹; 李鹏程; 孙文国; 陈毅

doi:10.13406/j.cnki.cyxb.000864

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泌尿外腹腔镜手术Hem-o-lok误夹下腔静脉的处理与探讨（附3例报告）

临床研究 | 更新时间：2024-01-17

- 泌尿外腹腔镜手术Hem-o-lok误夹下腔静脉的处理与探讨（附3例报告）
- Treatment for inferior vena cava mistakenly clipped by Hem-o-lok during urology laparoscopic surgery(report of 3 cases)
- 重庆医科大学学报 2016年41卷第2期页码：214-216
- 作者机构：
  
  桂林医学院附属医院泌尿外科
- 作者简介：
- 基金信息：
  
  广西桂林市科学研究与技术开发项目（编号:20120121-1-2）
- DOI：10.13406/j.cnki.cyxb.000864
  中图分类号： R699
- 纸质出版日期：2016，
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[1]向雪宝,蒋雷鸣,黄洁夫,张天禹,李鹏程,孙文国,陈毅.泌尿外腹腔镜手术Hem-o-lok误夹下腔静脉的处理与探讨(附3例报告)[J].重庆医科大学学报,2016,41(02):214-216.

Xiang Xuebao, Jiang Leiming, Huang Jiefu, et al. Treatment for inferior vena cava mistakenly clipped by Hem-o-lok during urology laparoscopic surgery(report of 3 cases)[J]. Journal of Chongqing Medical University, 2016,41(2):214-216.
[1]向雪宝,蒋雷鸣,黄洁夫,张天禹,李鹏程,孙文国,陈毅.泌尿外腹腔镜手术Hem-o-lok误夹下腔静脉的处理与探讨(附3例报告)[J].重庆医科大学学报,2016,41(02):214-216. DOI： 10.13406/j.cnki.cyxb.000864.

Xiang Xuebao, Jiang Leiming, Huang Jiefu, et al. Treatment for inferior vena cava mistakenly clipped by Hem-o-lok during urology laparoscopic surgery(report of 3 cases)[J]. Journal of Chongqing Medical University, 2016,41(2):214-216. DOI： 10.13406/j.cnki.cyxb.000864.

摘要

目的:探讨泌尿外科腹腔镜手术中下腔静脉被Hem-o-lok结扎锁误夹后的处理方法及预防措施。方法:回顾分析3例腹腔镜手术中下腔静脉被误夹患者的临床资料

1例腹腔镜下肾癌根治

1例肾上腺嗜铬细胞瘤切除

1例结石并积脓肾切除

3例手术过程中部分下腔静脉均被Hem-o-lok结扎锁误夹。发现夹闭后

立即暂停手术

评估下腔静脉损伤情况。最后用超声刀打开Hem-o-lok

吸净积血、增加气压

用4-0血管缝线"8"字缝合破口。结果:2例被Hem-o-lok损伤的下腔静脉于镜下成功修补

分别耗时720 s、840 s;出血25 ml、40 ml。1例局部覆盖止血纱布保守治疗。术后患者恢复良好

未发生相关并发症。结论:腹腔镜下被Hem-o-lok结扎锁误夹的下腔静脉

常常破口较小

出血少易控制

可尝试腹腔镜下打开Hem-o-lok结扎锁

修补破口。对于夹闭下腔静脉较少的患者可保守治疗方式。

Abstract

Objective:To study the treatment and prevention for inferior vena cava mistakenly clipped by Hem-o-lok during urology laparoscopic surgery. Methods:Clinical data of 3 cases of inferior vena cava mistakenly clipped by Hem-o-lok during laparoscopic surgery were retrospectively analyzed. One case of laparoscopic radical nephrectomy

one case of adrenal pheochromocytoma resection

one case of calculi and empyema renal resectionwhich;the three cases were all mistakenly clipped. After being clipped

the operation was immediately suspended and the damage was checked;effective measures were taken to keep the visual field clear. Finally ultrasonic knife was used to open the Hem-o-lok;the injured vena cava was sutured by 4-0 blood vessel suture line. Results:Two cases were repaired successfully by laparoscopy

respectively using 720 seconds and 840 seconds as well as 25 ml and 40 ml blood. One case treated with topical hemostatic gauze. All patients recovered with no complication being observed. Conclusion:Inferior vena cava mistakenly clipped by Hem-o-lok often has small rap

less bleeding

and no complication.

关键词

腹腔镜手术手术中并发症腔静脉下泌尿系疾病

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