Partial Nephrectomy of Renal Tumor with Three-dimensional Laparoscopy: Report of 11 Cases
10.3969/j.issn.1009-6604.2017.08.009
- VernacularTitle:3D腹腔镜肾部分切除术治疗肾肿瘤(附11例报告)
- Author:
Chaoguang MA
;
Chengzhi YAN
- Keywords:
Three-dimensional laparoscopy;
Partial nephrectomy;
Renal tumor
- From:
Chinese Journal of Minimally Invasive Surgery
2017;17(8):704-706,713
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of partial nephrectomy with three-dimensional laparoscopy for the treatment of renal tumor.Methods From 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.Results All 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.Conclusions Partial nephrectomy of renal tumor with three-dimensional laparoscopy is safe and feasible.The outcome is satisfying and worthy of application.
