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新型末端可弯3D腹腔镜肾脏部分切除术的疗效评估

文进,  李汉忠,  纪志刚

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文章导航 > 协和医学杂志  > 2017 >  8(1): 43-45
文进, 李汉忠, 纪志刚. 新型末端可弯3D腹腔镜肾脏部分切除术的疗效评估[J]. 协和医学杂志, 2017, 8(1): 43-45. doi: 10.3969/j.issn.1674-9081.2017.01.010
引用本文: 文进, 李汉忠, 纪志刚. 新型末端可弯3D腹腔镜肾脏部分切除术的疗效评估[J]. 协和医学杂志, 2017, 8(1): 43-45. doi: 10.3969/j.issn.1674-9081.2017.01.010
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Jin Wen, Hanzhong Li, Zhigang Ji. Effectiveness Assessment of Partial Nephrectomy with Flexible Three-dimensional Laparoscopy[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(1): 43-45. doi: 10.3969/j.issn.1674-9081.2017.01.010
Citation: Jin Wen, Hanzhong Li, Zhigang Ji. Effectiveness Assessment of Partial Nephrectomy with Flexible Three-dimensional Laparoscopy[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(1): 43-45. doi: 10.3969/j.issn.1674-9081.2017.01.010
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新型末端可弯3D腹腔镜肾脏部分切除术的疗效评估

doi: 10.3969/j.issn.1674-9081.2017.01.010

  • 中国医学科学院 北京协和医学院 北京协和医院泌尿外科，北京 100730

详细信息
    通讯作者:

    李汉忠 电话: 010-69156035，E-mail:lhzjxmc@163.com

  • 中图分类号: R615;R692

Effectiveness Assessment of Partial Nephrectomy with Flexible Three-dimensional Laparoscopy

  • Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information
    Corresponding author: LI Han-zhong Tel: 010-69156035, E-mail:lhzjxmc@163.com

    摘要
  • 摘要:   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。
    Abstract:   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 3-15 months of follow-up.  Conclusions  Laparoscopic partial nephrectomy with flexible 3D laparoscopic surgery is safe and effective.
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    • 参考文献(14)
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    [12] Finelli A, Gill IS. Laparoscopic partial nephrectomy: contemporary technique and results [J]. Urol Oncol, 2004, 22: 139-144. doi:  10.1016/j.urolonc.2004.01.004
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出版历程
  • 收稿日期:  2016-02-21
  • 刊出日期:  2017-01-30

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