Clinical application of four-hook needle combined with holographic image in robot-assisted partial nephrectomy for completely intrarenal tumors
10.3760/cma.j.cn112330-20240315-00133
- VernacularTitle:四钩定位针联合全息影像在机器人辅助肾部分切除术治疗完全内生型肾肿瘤中的临床应用
- Author:
Qiubo XIE
1
;
Yu ZHOU
;
Lei GAO
;
Zhong TU
;
Jian SONG
;
Renhao WANG
;
Xiang LI
;
Guan ZHANG
;
Le ZHANG
;
Tiejun PAN
Author Information
1. 中部战区总医院泌尿外科，武汉 430000
- Keywords:
Kidney neoplasms;
Completely intrarenal tumors;
Partial nephrectomy;
Localization needle;
Robots;
Holographic image
- From:
Chinese Journal of Urology
2024;45(5):343-347
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and efficacy of four-hook needle combined with holographic image in robot-assisted partial nephrectomy for completely intrarenal tumors.Methods:The clinical data of 8 patients with completely intrarenal tumors treated by robot-assisted partial nephrectomy with four-hook needle combined with holographic image admitted to General Hospital of Central Theater Command from October 2023 to December 2023 were retrospectively analyzed. There were 6 males and 2 females, with average age of (44.5±12.0) years old. Tumors of 6 cases were in the left side and 2 cases in the right side. The maximum diameter of the tumor was (23.2±8.1) mm. The R. E.N.A.L. score was (9.0±1.4). The preoperative serum creatinine (Scr) was (73.1±14.7) μmol/L. CT-guided four-hook needle was used to locate the edge of completely intrarenal tumor before surgery. During the operation, the tumor was precisely resected under the guidance of hologram and four-hook needle. Perioperative data of patients were collected and analyzed.Results:All the tumor were successfully resected under the guidance of four-hook needle and hologram without conversion to radical nephrectomy or open surgery. The mean operative time was (117.0±14.5) min, the mean hot ischemia time was (20.2±5.1) min, the mean intraoperative blood loss was (75.0±17.3) ml, and the average hospitalization time was (9.5±1.3) days.The one week postoperative Scr was (73.2±14.8) μmol/L, which had no significant difference with that of before operation ( P=0.952). None of them received blood transfusion. The pathology results of 8 patients were clear cell renal cell carcinoma, and the surgical margins were negative. Conclusions:For completely intrarenal tumors, the four-hook needle combined with the hologram can guide the surgeon to quickly locate the tumor, accurately resect the tumor, reduce perioperative complications, and is safe and effective.
