新型末端可弯3D腹腔镜肾脏部分切除术的疗效评估

Effectiveness Assessment of Partial Nephrectomy with Flexible Three-dimensional Laparoscopy

目的探讨新型末端可弯3D腹腔镜进行肾部分切除术的有效性和安全性。方法 2014年12月至2015年12月,29例肾肿瘤患者在北京协和医院接受了末端可弯3D腹腔镜肾部分切除术,男性18例,女性11例,年龄37~65岁,肿瘤直径2.2~5.6 cm。记录并观察手术时间、热缺血时间、出血量及术后住院天数。结果 29例患者手术均顺利完成,无中转开放手术。手术时间75~130 min,缺血时间11~28 min,出血量30~150 ml,术后住院5~8 d,随访3~15个月,无复发和转移。结论利用末端可弯3D腹腔镜成像系统行肾部分切除术安全有效。

Objective To assess the effectiveness and safety of laparoscopic partial nephrectomy with fle-xible three-dimensional （3D） laparoscopy. Methods Twenty-nine patients with renal neoplasm were treated by flexible 3D laparoscopic partial nephrectomy from December 2014 to December 2015 in Peking Union Medical College Hospital, including 18 males are 11 females, who were 37 -65 years old. Tumor diameter was 2. 2 - 5. 6 cm. We observed and recorded parameters including operative time, warm ischemic time, blood loss and length of post-operative hospital stay. Results Operations in all the 29 patients were completed successfully without conversion to open surgery. The operative time was 75 -130 minutes, the warm ischemic time was 11 - 28 minutes and the estimated blood loss was 30 -150 ml. The post-operative hospital stay was 5 - 8 days. There was no recurrence within 3- 1 5 months of follow- up. Conclusions Laparoscopic partial nephrectomy with flexi-ble 3D laparoscopic surgery is safe and effective.