超逼真渲染辅助腹腔镜肾上腺切除术治疗巨大肾上腺肿瘤:一项试点研究。

IF 2.8 2区 医学 Q2 UROLOGY & NEPHROLOGY
Jiamo Zhang, Ke Hu, Jing Qing, Jiangchuan Chen, Changlong Li, Yongxia Zhou
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引用次数: 0

摘要

目的:本研究旨在探讨超现实渲染(HRR)在腹腔镜巨大肾上腺肿瘤切除术中的应用价值:我们回顾性分析了2021年1月至2024年1月的25例巨大肾上腺肿瘤患者,中位年龄为56(40.5,58.5)岁,肿瘤中位直径为7.20(6.80,8.50)cm。所有患者术前都接受了基于增强型计算机断层扫描的HRR医学检查,随后接受了腹腔镜肾上腺肿瘤切除术:HRR用于初步判断肿瘤的性质,并制定详细的手术方案,25名患者在术前完成了该方案。所有 24 例肿瘤均位于肾上腺,1 例位于腹膜后,左侧和右侧肿瘤分别为 13 例和 12 例。术前HRR三维成像与术中情况一致,25例手术成功。中位手术时间为165(120.0,250.0)分钟,中位出血量和输血量分别为200(150.0,450.0)和200.0(150.0,450.0)毫升。没有重要器官和主要血管的侧支损伤,也没有转为开放手术的病例:结论:对于巨大的腹膜后肾上腺肿瘤,HRR三维重建成像可使术者在术前充分了解肿瘤与周围器官和血管的关系,从而减少术中出血和侧支损伤,提高腹腔镜切除的成功率和手术的安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hyper-realistic rendering-assisted laparoscopic adrenalectomy for giant adrenal tumors: a pilot study.

Purpose: This study aimed to explore the application value of hyperrealistic rendering (HRR) in laparoscopic giant adrenal tumor resection.

Methods: We retrospectively analyzed 25 patients with giant adrenal tumors from January 2021 to January 2024, with a median age of 56 (40.5, 58.5) years and a tumor median diameter of 7.20 (6.80, 8.50) cm. All patients underwent preoperative medical HRR based on enhanced computed tomography, followed by laparoscopic adrenal tumor resection.

Results: HRR was used to initially determine the nature of the tumor and develop a detailed surgical plan, which was completed in 25 patients preoperatively. All 24 cases of tumors were located in the adrenal gland, 1 case was located in the retroperitoneum, and 13 and 12 cases were on the left and right side, respectively. Preoperative HRR 3D imaging was consistent with the intraoperative situation, and 25 cases had successful surgeries. The median operation time was 165 (120.0, 250.0) min, and median bleeding and blood transfusion volume were 200 (150.0, 450.0) and 200.0 (150.0, 450.0) mL, respectively. There were no collateral injuries to important organs and major vessels and no cases of conversion to open surgery.

Conclusion: For large retroperitoneal adrenal tumors, HRR for three-dimensional (3D) reconstruction imaging enables the operator to fully understand the relationship between the tumor and surrounding organs and blood vessels preoperatively, which can reduce intraoperative bleeding and collateral injuries, improve the success rate of laparoscopic resection, and safety of the operation.

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来源期刊
World Journal of Urology
World Journal of Urology 医学-泌尿学与肾脏学
CiteScore
6.80
自引率
8.80%
发文量
317
审稿时长
4-8 weeks
期刊介绍: The WORLD JOURNAL OF UROLOGY conveys regularly the essential results of urological research and their practical and clinical relevance to a broad audience of urologists in research and clinical practice. In order to guarantee a balanced program, articles are published to reflect the developments in all fields of urology on an internationally advanced level. Each issue treats a main topic in review articles of invited international experts. Free papers are unrelated articles to the main topic.
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