3D腹腔镜系统在泌尿外科手术中的应用体会  

Experience of three-dimensional visualization of laparoscopic system in urological surgery

作　　者：张保[1] 司马晋[1] 刘伟刚[1] 夏志国[1] 杨林[1] 刘忠平[1] 李睿[1] 付斌[1] 徐震[1] 徐峰[1] 

机构地区：[1]航天中心医院(北京大学航天临床医学院)泌尿外科,北京100049

出　　处：《临床泌尿外科杂志》2014年第6期468-470,共3页Journal of Clinical Urology

摘　　要：目的：探讨3D腹腔镜系统在泌尿外科手术中的应用。方法：回顾性分析2013年11月15～29日进行的3D腹腔镜手术6例患者的临床资料，包括前列腺癌根治性切除术2例，肾部分切除术1例，肾癌根治术1例，肾上腺部分切除术1例，输尿管癌根治术1例。统计分析其手术时间、术中出血量、术后排气时间、术后拔管时间以及术后住院天数等数据。结果：6例患者手术均获得成功。手术时间80～180min，其中2例前列腺癌根治术手术时间分别为148min和180min，出血量分别为210ml和350ml。肾部分切除术手术时间为90min，出血量50ml。肾癌根治术手术时间为115min，出血量20ml。肾上腺部分切除术手术时间为80min，出血量15m1。左输尿管癌根治术手术时间为128min，出血量90ml。患者术后1～2天恢复胃肠道功能，随访1个月无明显并发症。结论：3D腹腔镜系统较传统腹腔镜技术视野更清晰，立体效果更强，在术中提供了良好的解剖层次，降低了手术难度，从手术时间及出血量方面均优于传统的2D腹腔镜，且不增加手术费用，有应用推广前景。Objective：To summarize experience of three-dimensional visualization （3D） of laparoscopic system in urological surgery. Method： From November 15th to November 29th in 2013, six cases were operated by 3D HD laparoscopy system. Two of them underwent radical resection of prostate cancer and one of them underwent partial nephrectomy. Another one case received radical nephrectomy and one case received partial adrenalectomy. The rest one case was taken radical resection of ureteral carcinoma. The data of operation time, intraoperative blood loss, postoperative exhaust time, time to extubation after surgery, and postoperative hospital stay were counted. Result： All the surgeries were successful. The postoperative data were as follows： the surgery time was 80 to 180 min; the time of radical resection of prostate cancer for two patients were 148 min and 180 min respectively, and blood loss were 210 ml and 350 ml respectively; the time of partial nephrectomy was 90 min, and blood loss was 50 ml; the time of radical nephrectomy was 115 min, and blood loss was 20 ml; the time of partial adrenalectomy was 80 min, and blood loss was 15 ml; the time of radical resection of ureteral carcinoma was 128 min, and blood loss was 90 ml. All patients recovered gastrointestinal function in 1-2 days, and no complication was found after follow-up period of one month. Conclusion： 3D-laparoscopic surgery could provide a better anatomical image than traditional laparoscopic surgery. Moreover, there was no additional cost of operation. With more clinical practice, 3D-laparo scopic surgery could be generally applied.

关 键 词：腹腔镜术 3D腹腔镜系统 泌尿外科手术 

分 类 号：R572[医药卫生—消化系统]