3D可视化技术在腹腔镜下肾错构瘤剜除术中的应用

Application of three-dimensional visualization technology in laparoscopic surgery for renal hamartoma

摘要:

目的 探究3D可视化技术在腹腔镜下肾错构瘤剜除术中的临床应用价值。方法 回顾性分析2019年3月－2021年3月行腹腔镜下肾错构瘤剜除术的65例肾错构瘤患者的临床资料，术前行3D重建37例，常规CT检查28例。比较两组患者人口学参数、肿瘤位置和围手术期结果。用SPSS 26.0软件进行分析。结果 两组患者年龄、性别、住院时间、体重指数（BMI）和肿瘤大小比较，差异无统计学意义（P > 0.05），3D重建组手术时间明显缩短、失血量明显减少（P < 0.05）。结论 3D可视化技术是腹腔镜下肾错构瘤剜除术前一种有效的评估方法，其能准确地显示肿瘤与周围结构之间的关系，可以帮助外科医生了解手术区的解剖结构，为手术策略的制定提供参考依据，有助于缩短手术时间和减少手术失血量。

Abstract:

Objective To investigate the clinical application of the 3D visualization technology for retroperitoneal laparoscopic enucleation of therenal hamartoma.Methods The clinical data of 65 patients who underwent retroperitoneoscopy for renal hamartoma from March 2019 to March 2021 were analyzed retrospectively. 37 patients underwent laparoscopic surgery for renal hamartoma after preoperative 3D visualization technology, 28 patients underwent laparoscopic surgery for renal hamartoma after conventional CT examination. The location of tumor, perioperative outcomes and the demographic parameters were compared between the two groups. Analyzed by SPSS version 26.0.Results No significant difference was found between the two groups in gender, body mass index (BMI), tumor size, age and average hospital stay. However, the operating time was significantly shorter, and the estimated blood loss was significantly less in the 3D visualization technology group.Conclusion The 3D visualization technology provides an excellent guide for laparoscopic surgery in patients with renal hamartoma. 3D visualization technology accurately shows the relationship between renal hamartoma and the peripheral structures, helping surgeons to avoid operative risks, decreasing the operating time and shorten the operation time.