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손가락 끝 박리법을 이용한 손을 이용한 복강경 부분신절제술의 초기 경험
이영익(Young Ik Lee),김대현(Dae Hyun Kim),김지원(Ji Won Kim),함동엽(Dong Yeub Ham),배상락(Sang Rak Bae),박형근(Hyoung Keun Park),김형곤(Hyeong Gon Kim),노용수(Yong Soo Lho),백성현(Sung Hyun Paick) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.2
Purpose: We reported the initial experience of hand-assisted laparoscopic partial nephrectomy (HALPN) for kidney neoplasm using finger-tip dissection technique. Materials and Methods: A total 11 patients with exophytic renal mass who had undergone HALPN for kidney neoplasms. After mobilizing the entire hilum thoroughly, the renal artery was hung with a rubber catheter. When massive bleeding occurred, it was clamped. Surgeon’s index finger-tip was used for the mass dissection. After making the incision line 5-10mm from the mass using scissors, the resection plane was gradually deepened bluntly by the finger-tip, which was directed centrally along the grain of the renal pyramids. If large vessels and calyxes were felt by the finger-tip during dissection, they were secured by clipping. The mass was completely removed by pinching off using the fingers. Results: Mean patient age was 51.4 years (37-72 years), mean tumor size was 2.1cm (1.0-3.0cm), the mean operation time was 163.4min (120-310min). In only five patients, renal artery was clamped. In these cases, mean ischemic time was 24min (15-30min). All patients had negative resection margins. Mean estimated blood loss was 304.8ml (63-900ml) and two patients required a post-operative blood transfusion. No serious complications occurred. Conclusions: The finger-tip dissection technique of renal mass in HALPN is feasible. This technique can allow the easy and safe dissection by the maximizing the tactile sense.