[1]马超光*,闫成智.3D腹腔镜肾部分切除术治疗肾肿瘤(附11例报告)[J].中国微创外科杂志,2017,17(08):704-713.
　Ma Chaoguang,Yan Chengzhi..Partial Nephrectomy of Renal Tumor with Threedimensional Laparoscopy: Report of 11 Cases[J].Chinese Journal of Minimally Invasive Surgery,2017,17(08):704-713.
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3D腹腔镜肾部分切除术治疗肾肿瘤(附11例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年08期
页码:
704-713
栏目:
临床研究
出版日期:
2017-08-20

文章信息/Info

Title:
Partial Nephrectomy of Renal Tumor with Threedimensional Laparoscopy: Report of 11 Cases
作者:
马超光*; 闫成智
天津市宝坻区人民医院泌尿外科，天津301800
Author(s):
Ma Chaoguang;  Yan Chengzhi.
Department of Urology, People’s Hospital of Baodi, Tianjin 301800, China
关键词:
3D腹腔镜; 肾部分切除术; 肾肿瘤
Keywords:
Threedimensional laparoscopy; Partial nephrectomy; Renal tumor
文献标志码:
A
摘要:
目的探讨3D腹腔镜肾部分切除术治疗肾肿瘤的效果。方法2013年10月~2015年9月我院利用3D腹腔镜对11例肾肿瘤施行肾部分切除术。采用腹膜后途径，分离并阻断肾动脉, 显露肿瘤后沿肿物边缘将其完整切除，创面用薇乔线双层连续缝合。结果所有手术均在3D腹腔镜下顺利完成，无中转开放手术。手术时间70～180 min，平均100 min；缺血时间14～35 min，平均25 min。出血量50～300 ml，平均90 ml。术中腹膜损伤1例，皮下气肿2例、肾周血肿1例，无其他术中、术后并发症。术后住院5～10 d，平均6 d。10例术后随访3～14个月，平均10个月，未见肿瘤复发或转移，无新发肾功能不全。结论3D腹腔镜肾部分切除手术是安全可行的，治疗效果良好，值得推广。
Abstract:
ObjectiveTo analyze the effect of partial nephrectomy with threedimensional laparoscopy for the treatment of renal tumor.MethodsFrom October 2013 to September 2015, 11 patients underwent 3D laparoscopic partial nephrectomy for renal tumor in our hospital. All the cases were given retroperitoneal approach. The renal artery was seperated and blocked, and the renal tumor was exposed and completely resected around the edge. The wound was double layer sutured with Vicryl. ResultsAll the 11 operations were finished smoothly without conversion to open surgery. The operative time was 70-180 min (mean, 100 min), the ischemic time was 14-35 min (mean, 25 min), and the estimated blood loss was 50-300 ml (mean, 90 ml). There were 1 case of intraoperative peritoneal perforation, 2 cases of subcutaneous emphysema, and 1 case of perirenal hematoma. No other operative or postoperative complications occurred. The postoperative hospital stay was 5-10 d (mean, 6 d). Postoperative followups for 3-14 months (mean, 10 months) in 10 cases found no recurrence or metastasis or renal dysfunction.ConclusionsPartial nephrectomy of renal tumor with threedimensional laparoscopy is safe and feasible. The outcome is satisfying and worthy of application.

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备注/Memo

备注/Memo:
*通讯作者，Email：machaoguang@163.com
更新日期/Last Update: 2017-11-22