首页|铥激光在腹腔镜无阻断肾血管平滑肌脂肪瘤剜除术中的应用体会

铥激光在腹腔镜无阻断肾血管平滑肌脂肪瘤剜除术中的应用体会

Off-clamp laparoscopic Thulium laser enucleation for renal angiomyolipoma

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本文回顾性分析我院行腹腔镜无阻断铥激光肾肿瘤剜除术治疗6例肾血管平滑肌脂肪瘤患者的资料.患者年龄(48.5±11.1)岁,肿瘤最大径(4.6±1.7)cm,R.E.N.A.L.评分4~7分.术中均未阻断肾动脉,手术时间(150.7±58.I)min,术中出血量(48.3±29.3)ml.术后无出血、感染、漏尿等并发症发生,肾功能无显著下降.随访4~26个月,未见肿瘤复发.腹腔镜下无阻断铥激光肾血管平滑肌脂肪瘤剜除术治疗外生型肾血管平滑肌脂肪瘤安全、可行,术中出血少,具有保护肾功能的优势.
The clinical data of 6 patients with renal angiomyolipoma who underwent off-clamp laparoscopic Thulium laser enucleation in our hospital were retrospectively collected.The average age was(48.5±11.1)years old and the tumor diameter was(4.6±1.7)cm.The R.E.N.A.L.scores were between 4 to 7.All patients successfully completed the off-clamp operation.The average operation time was(150.7±58.1)min,with a blood loss of(48.3±29.3)ml.There were no severe complications such as bleeding,infection and urine leakage,and no significant decline in renal function.During 4 to 26 months of follow-up,no tumor recurrence was observed.Off-clamp laparoscopic Thulium laser enucleation for renal angiomyolipoma is safe and feasible,with less intraoperative bleeding,and has the advantage of protecting renal function.

Kidney neoplasmsAngiomyolipomaThulium laserOff-clamp

黄凯、陈彪、孙欣哲、宣强、肖峻、沈洲

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中国科学技术大学附属第一医院(安徽省立医院)先导医学与前沿技术研究所泌尿外科,合肥 230001

肾肿瘤 血管平滑肌脂肪瘤 铥激光 无阻断

大健康研究院先导医学与前沿技术研究所专项

2023IHM02012

2024

中华泌尿外科杂志
中华医学会

中华泌尿外科杂志

CSTPCD北大核心
影响因子:1.628
ISSN:1000-6702
年,卷(期):2024.45(7)