3D打印技术辅助腹腔镜下肾肿瘤冷冻消融术  

Evaluation of Three-dimensional Printing Assisted Laparoscopic Cryoabaltion of Renal Tumors:a Preliminary Report

作　　者：曹健 朱帅 叶明佶 皮硕煌 刘侃 韩惟青[1] 谢宇[1] Cao Jian;Zhu Shuai;Ye Mingji(Department of Urology,Hunan Cancer Hospital,Changsha 410006,China)

机构地区：[1]湖南省肿瘤医院泌尿外科,长沙410006 [2]湖南省株洲市第二人民医院泌尿外科,株洲412005

出　　处：《中国微创外科杂志》2018年第12期1118-1120,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：湖南省医药卫生科研计划重点资助项目(A2016002);长沙市科技局项目(kq1701043);湖南省第七批科技发展计划(重点研发计划)(2018SK2120).

摘　　要：2016年4月～2017年4月,对4例单发肾透明细胞癌(上极1例,肾门1例,下极2例,最大径2. 4～3. 8cm,平均3. 13 cm),术前通过3D图像辅助模拟冷冻消融治疗,设计需要的进针数及进针的深度和角度,术中对照3D打印模型实施手术。4例手术顺利,术后无并发症。随访8～16个月,平均13. 3月。复查泌尿系统CT平扫加增强,冷冻区域均无强化表现。From April 2016 to August 2017,4 patients who were diagnosed as single renal clear cell carcinoma(1 case in the upper lobe,1 in the renal hilum,and 2 in the lower lobe),with tumour diameter ranged 2.4-3.8 cm(mean,3.13 cm),underwent this operation.Three-dimensional reconstruction technology was used to mimic cryoablation treatment before operations in terms of how many needles needed and the depth and angle required.The 3D model of kidney was utilized to guide intraoperative surgical operation.All the operations were performed successfully.No postoperative major complications occurred.The follow-ups were conducted for 8-16 months(mean,13.3 months).Renal enhancing CT scanning was conducted routinely after surgery,without obvious tumor signals found in the frozen areas in all the cases.

关 键 词：肾肿瘤 保留肾单位手术 3D打印技术 冷冻消融 精准医疗 

分 类 号：R737.11[医药卫生—肿瘤] TP391.73[医药卫生—临床医学]