[1]曹健 朱帅 叶明佶 皮硕煌① 刘侃 韩惟青 谢宇**.3D打印技术辅助腹腔镜下肾肿瘤冷冻消融术[J].中国微创外科杂志,2018,18(12):1118-1120.
　Cao Jian,Zhu Shuai,Ye Mingji,et al.Evaluation of Threedimensional Printing Assisted Laparoscopic Cryoabaltion of Renal Tumors: a Preliminary Report[J].Chinese Journal of Minimally Invasive Surgery,2018,18(12):1118-1120.
点击复制

3D打印技术辅助腹腔镜下肾肿瘤冷冻消融术()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年12期
页码:
1118-1120
栏目:
技术改进
出版日期:
2018-12-20

文章信息/Info

Title:
Evaluation of Threedimensional Printing Assisted Laparoscopic Cryoabaltion of Renal Tumors: a Preliminary Report
作者:
曹健 朱帅 叶明佶 皮硕煌① 刘侃 韩惟青 谢宇**
（湖南省肿瘤医院泌尿外科，长沙410006）
Author(s):
Cao Jian;  Zhu Shuai;  Ye Mingji;  et al.
Department of Urology, Hunan Cancer Hospital, Changsha 410006, China
关键词:
肾肿瘤; 保留肾单位手术; 3D打印技术; 冷冻消融; 精准医疗
Keywords:
Renal neoplasm; Nephron sparing surgery; 3D printing technology; Cryoablation; Precision medical treatment
文献标志码:
B
摘要:
2016年4月~2017年4月，对4例单发肾透明细胞癌（上极1例，肾门1例，下极2例，最大径2.4~3.8 cm，平均3.13 cm），术前通过3D图像辅助模拟冷冻消融治疗，设计需要的进针数及进针的深度和角度，术中对照3D打印模型实施手术。4例手术顺利，术后无并发症。随访8~16个月，平均13.3月。复查泌尿系统CT平扫加增强，冷冻区域均无强化表现。
Abstract:
From April 2016 to August 2017, 4 patients who were diagnosed as single renal clear cell carcinoma (1 case in the upper lobe, 1 in the renal hilum, and 2 in the lower lobe), with tumour diameter ranged 2.4-3.8 cm (mean, 3.13 cm), underwent this operation. Threedimensional reconstruction technology was used to mimic cryoablation treatment before operations in terms of how many needles needed and the depth and angle required. The 3D model of kidney was utilized to guide intraoperative surgical operation. All the operations were performed successfully. No postoperative major complications occurred. The followups were conducted for 8-16 months (mean, 13.3 months). Renal enhancing CT scanning was conducted routinely after surgery, without obvious tumor signals found in the frozen areas in all the cases.

参考文献/References:

[1]那彦群,叶章群,孙颖浩,等,主编.中国泌尿外科疾病诊断治疗指南2014版.北京：人民卫生出版社，2013.6-7.
[2]Ljungberg B, Bensalah K, Canfield S,et al.EAU Guidelines on Renal Cell Carcinoma:2014 Update.Eur Urol,2015,67(5):913-924.
[3]孙小磊,汪缨,张晖,等.3D打印技术技术在临床中的应用现状及展望.中国医疗设备,2017,32(1):99-102.
[4]Don H,David P,Milan S,et al.Surgical applications of threedimensional printing: a review of the current literature & how to get started.Ann Transl Med,2016,4(23):1-19.
[5]Miltiadis EK, Franco O,Konstantinos K,et al.CIRSE Guidelines on Percutaneous Ablation of Small Renal Cell Carcinoma.Cardiovas Intervent Radiol,2017,40(2):177-191.
[6]Zhang Y,Ge HW,Li NC,et al.Evaluation of threedimensional printing for laparoscopic partial nephrectomy of renal tumors: a preliminary report.World J Urol,2016,34:533-537.
[7]Srougi V,Rocha BA,Tanno FY,et al.The use of threedimensional printers for partial adrenalectomy:estimating the resection Limits.Urology,2016,90:217-220.
[8]Atalay HA,Canat HL,lker V,et al.Impact of personalized threedimensional printed pelvicalyceal system models on patient information in percutaneous nephrolithotripsy surgery:a pilot study.Int Braz J Urol,2017,43:470-475.
[9]Wang Y,Gao X,Yang Q,et al.Threedimensional printing technique assisted cognitive fusion in targeted prostate biopsy.Asian J Urol,2015,2:214-219.
[10]李明峰，谢宇，刘侃，等.3D打印技术技术在保留肾单位手术中的应用研究.临床泌尿外科杂志,2017,32(12):938-941.
[11]费夏玮,李笑弓.腹腔镜下冷冻消融治疗肾癌的应用现状.中国微创外科杂志,2012,12(5):454-457.
[12]Guazzoni G,Cestari A,Buffi N,et al.Oncologic results of laparoscopic renal cryoablation for clinicl T1a tumours:8 years of experience in a single institution.Urology,2010,76(3):624-630.
[13]Tsivian M,Caso J,Kimura M,et al.Renal function outcomes after laparoscopic renal cryoablation.J Endourol,2011,25(8):1287-1291.
[14]Tanaqho YS,Roytman TM,Bhayani SB,et al.Laparoscopic cryoablation of renal masses:singlecenter longterm experience.Urology,2012,80(2):307-314.
[15]Klatte T,Shariat SF,Remzi M,et al.Systematic review and metaanalysis of perioperative and oncologic outcomes of laparroscopic cryoabalstion verse laparoscopic partial nephrectomy for the treatment of small renal tumours. J Urol,2014,191(5):1209-1217.

备注/Memo

备注/Memo:
基金项目：湖南省医药卫生科研计划重点资助项目（A2016002）；长沙市科技局项目（kq1701043）；湖南省第七批科技发展计划（重点研发计划）（2018SK2120）**通讯作者，Email：9789691@qq.com①（湖南省株洲市第二人民医院泌尿外科，株洲412005）
更新日期/Last Update: 2019-03-01