腎切石術の手術々式

概要

論文の詳細を見る
I have developed a new operative procedure for nephrolithotomy which can be performed safely by a simple technique which results in minimal damage to renal function. The principle of this new procedure is in the method of suturing the renal pelvis and renal capsule. In this procedure, paired haemostatic sutures are inserted to appose the cut sufaces and then ligated. The new technique was used on 29 patients with renal calculi. To evaluate the safety and simplicity of the procedure, the time required for the disappearance of macroscopic and microscopic hematuria were observed after operation, and the renal ischemic time, operation time and bleeding volume were recorded. The postoperative cource was followed by DIP, CT and 99mTc-DTPA renogram. The results were compared with those obtained previously for 41 patients in whom vertical interrupted parenchymal sutures were used. These clinical data have shown that this new operative method is much safer than the conventional method of vertical interrupted parenchymal suture, and much simpler than anatrophic nephrolithotomy, with preservation of good renal function.
泌尿器科紀要刊行会の論文