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《Academic Journal of Second Military Medical University》 2017-02
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Clinical comparative analysis of 3D and 2D laparoscopic partial nephrectomy for renal tumors

TAN Hai-song;TANG Xiao-hui;WU Zhen-jie;BAO Yi;SHI Jia-zi;LIU Bing;HE Yi;WANG Lin-hui;Department of Urology,Changzheng Hospital,Second Military Medical University;Department of Urology,Shanghai Baoshan Luo dian Hospital;Department of Urology,Jiaxing First Hospital;  
Objective To compare the clinical efficacies of 3D and 2D laparoscopic partial nephrectomy for renal tumors and to investigate the pros and cons of 3D laparoscopic partial nephrectomy.Methods We retrospectively analyzed the clinical data of 134 patients with renal tumors;they underwent laparoscopic partial nephrectomy between Aug.2013 and Mar.2016 by the same surgical group in Changhai Hospital and Changzheng Hospital,Second Military Medical University.Fifty-three cases were included in the 3D laparoscopic partial nephrectomy group and 81 cases in the2 D laparoscopic partial nephrectomy group.The perioperative and follow-up data subjected to comparison and analysis included operative time,estimated blood loss,intraoperative transfusion,warm ischemic time,recovery time of bowel function,length of hospitalization,perioperative complications,and pre-and post-operative glomerular filtration rate(GFR).Results All operation procedures of this study were completed uneventfully without conversion to open surgery or radical nephrectomy,and surgical margins were negative in all cases.The operative time([193.40±45.14]vs[217.00±59.19]min,P=0.015),warm ischemic time([23.70±6.96]vs[26.60±8.10]min,P=0.032)and decrease of GFR of the operated kidney([12.70±6.49]vs[15.10±6.45]mL·min-1·1.73m~2,P=0.036)in the 3D group were significantly improved compared with those in the 2D group. However,the estimated blood loss,intraoperative transfusion,recovery time of bowel function,length of hospitalization and perioperative complications were not significantly different between the two groups(P0.05).All the patients with complications were discharged from the hospital after conservative therapy.D uring a follow-up of 1-32 months,no patients had acute or chronic renal failure,local recurrence or distant metastasis,and there was no death case.Conclusion Compared with 2D laparoscopic partial nephrectomy,3D laparoscopic technology can reduce operative time and warm ischemic time,which can help to better conserve renal function.
【Fund】: 上海市“领军人才”计划项目(2013046);; 上海市青年科技英才扬帆计划(16YF1403600)~~
【CateGory Index】: R737.11
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Xu Weifeng;LiHanzhong;Zhang Yushi;Zhang Xuebin;Yan Weigang;Ji Zhigang;Xiao He;Liu Guanghua;Wen Jin;Department of Urology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Pe-king Union Medical College;;Comparison of 3D and 2D laparoscopic nephron sparing surgery for renal tumor[J];中华泌尿外科杂志;2014-06
【Co-citations】
Chinese Journal Full-text Database 6 Hits
1 LIU Jiayi;Wang Zhixiang;WANG Jie;YE Huamao;GAO Yi;LI Yao;WU Zhenjie;BAO Yi;LIU Bing;WANG Linhui;Department of Urology,Changzheng Hospital,Second Military Medical University;Department of Urology,458th Hospital of PLA;Department of Urology,Changhai Hospital,Second Military Medical University;;Three dimensional laparoendoscopic single-site radical and partial nephrectomy:an initial clinical experience[J];临床泌尿外科杂志;2016-11
2 LI Hua-sheng;LUO Chao;YANG Hua;RUAN Qiao;WANG Zhi-mei;LUO Shu-feng;LI Feng;LUO Chang-hua;YANG Chuan;LAI Chang-sheng;Department of Urological Surgery,the Red Cross Hospital of Yulin;Department of Quality Control,the Red Cross Hospital of Yulin;Department of Surgery,the Red Cross Hospital of Yulin;Department of Gynaecology,the Red Cross Hospital of Yulin;Intensive Care Unit,the Red Cross Hospital of Yulin;Department of Technology and Education,the Red Cross Hospital of Yulin;;Comparison of application efficacy between 3D high definition laparoscopic and 2D high definition laparoscopic technique in adrenal tumor resection[J];广西医学;2016-09
3 Hua-sheng LI;Chong-qi ZOU;Chao LUO;Hua YANG;Qiao RUAN;Zhi-mei WANG;Chuan YANG;Chang-hua LUO;Chang-sheng LAI;Yulin Red Cross Hospital;;Comparison of 3D and 2D HD laparoscopic technique in the kidney resection[J];中国内镜杂志;2015-12
4 XING Qingfei;WANG Yi;GUO Zhanjun;LIU Xiaoqiang;WANG Binshuai;HUANG Xueqiang;SUN Guang;Department of Urology,Second Hospital of Tianjin Medical University,Tianjin Institute of Urology,Tianjin Key Laboratory of Basic Medicine of Urology;;Comparative study between 3Dlaparoscopic surgery and 2Dlaparoscopic technology in radical nephrectomy[J];临床泌尿外科杂志;2015-09
5 BAO Yi;LIU Bing;WANG Zhixiang;LIU Jiayi;WU Zhenjie;CHEN Junming;LI Peng;FANG Xiao;WANG Linhui;SUN Yinghao;Department of Urology Surgery,Changzheng Hospital,Second Military Medical University;;A comparative study of 3D laparoscopic and standard laparoscopic partial nephrectomy[J];上海医学;2015-07
6 Mu Xingyu;Wang Mingshuai;Song Liming;Xing Nianzeng;Department of Urology,Beijing Chao-yang Hospital,Capital Medical University;;Comparison of 3D and 2D laparoscopic partial nephrectomy for renal neoplasm[J];微创泌尿外科杂志;2015-02
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1 @LIU Hao$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @LIN Tian-xin$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @XU Ke-wei$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @HAN Jin-li$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @HUANG Hai$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @DONG Wen$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @BI Liang-kuan$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @ZHANG Cai-xia$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @ZHU Ding-jun$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @YAO You-sheng$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @XIE Wen-lian$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China @HUANG Jian$Department of Urology,Sun Yat-sen Memorial Hospital of Sun Yat-sen University!Guangzhou 510120,China;Preliminary experience of laparoscopic radical cystectomy and prostatectomy with three-dimensional laparoscopy[J];中华泌尿外科杂志;2013-10
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