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.%目的 探讨3D腹腔镜肾部分切除术治疗肾肿瘤的效果. 方法 2013年10月~2015年9月我院利用3D腹腔镜对11例肾肿瘤施行肾部分切除术.采用腹膜后途径,分离并阻断肾动脉, 显露肿瘤后沿肿物边缘将其完整切除,创面用薇乔线双层连续缝合. 结果 所有手术均在3D腹腔镜下顺利完成,无中转开放手术.手术时间70~180 min,平均100 min;缺血时间14~35 min,平均25 min.出血量50~300 ml,平均90 ml.术中腹膜损伤1例,皮下气肿2例、肾周血肿1例,无其他术中、术后并发症.术后住院5~10 d,平均6 d.10例术后随访3~14个月,平均10个月,未见肿瘤复发或转移,无新发肾功能不全. 结论 3D腹腔镜肾部分切除手术是安全可行的,治疗效果良好,值得推广.
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