CT based 3D reconstruction in robot-assisted laparoscopic partial nephrectomy can shorten the operation time and hospital stay for patients with renal cell carcinoma
10.3969/j.issn.1009-8291.2025.07.007
- VernacularTitle:术前CT影像三维重建可缩短肾癌患者机器人辅助肾部分切除术的手术及住院时间
- Author:
Xiaotong SHI
1
;
Guodong ZHU
1
Author Information
1. 西安交通大学第一附属医院泌尿外科,陕西西安 710061
- Publication Type:Journal Article
- Keywords:
CT based three-dimensional reconstruction;
robot;
retroperitoneal laparoscopy;
renal cell carcinoma;
partial nephrectomy;
operation time;
hospital stay
- From:
Journal of Modern Urology
2025;30(7):587-592
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of computed tomography(CT)based three-dimensional(3D)reconstruction technology in robot-assisted laparoscopic partial nephrectomy(RAPN)for patients with renal cell carcinoma(RCC).Methods A retrospective analysis was conducted on the clinical data of 185 RCC patients who underwent RAPN in our hospital during May 2021 and Aug.2023.Among them,98 underwent preoperative upper abdominal enhanced CT based 3D reconstruction(3D reconstruction group),and 87 did not perform it(non-3D reconstruction group).The differences in general information,tumor size,R.E.N.A.L.score,hospital stay,operation time,intraoperative blood loss,warm ischemia time,and postoperative complications were compared between the two groups.Results The 3D reconstruction group had clearer and more intuitive imaging.There were no significant differences in the general information,tumor size,R.E.N.A.L.score,intraoperative blood loss,and warm ischemia time between the two groups(P＞0.05).The 3D reconstruction group had shorter operation time[(125.8±34.9)min vs.(159.0±58.3)min],total hospital stay[(7.6±1.6)d vs.(7.7±3.0)d],and postoperative hospital stay[(3.7±0.5)d vs.(4.1±1.9)d],but longer preoperative hospital stay[(3.9±1.5)d vs.(3.5±2.2)d](all P＜0.001).Conclusion CT based 3D reconstruction technology can precisely display the anatomical parameters of tumor and its surrounding tissues,which can shorten the operation time,and postoperative and total hospital stay for RCC patients receiving RAPN.
