Abstract：Objective: To compare the clinical efficacy of total posterior abdominal 3D laparoscope and 2D laparoscope in the treatment of upper urothelial carcinoma.Methods: From March 2010 to March 2018, 67 patients with upper urothelial carcinoma were treated with the following methods in our hospital: (1) total retroperitoneal 3D laparoscopic resection of kidney and ureter and bladder sleeve resection; (2) retroperitoneal resection of the affected kidney and ureter and small incision of the lower abdomen were performed to remove the affected kidney, ureter and part of the bladder. The patients were divided into 3D group and 2D group according to the surgical methods, including 21 cases in 3D group and 46 cases in 2D group. Perioperative conditions were analyzed and compared between the two groups. Results: All 67 procedures were successful. In 3D laparoscope group, the surgical duration was (2.19 ± 0.03) h, intra-operative hemorrhagic volume was (38.33±1.81) mL, postoperative drainage volume of indwelling drainage tube was (26.05 ± 1.85) mL/day, and postoperative hospital stay was (6.71 ± 0.16) days; In 2D laparoscope group, the surgical duration was (2.56±0.01) h, intra-operative hemorrhagic volume was (51.48 ± 1.61) mL, postoperative drainage volume of indwelling drainage tube was (30.46±1.55)mL/day, and postoperative hospital stay was (6.87±0.13) days. The difference in operation time and hemorrhagic volume between the two groups had statistical significance (P<0.05). All patients were followed up for 8-48 months, with an average of 30 months. No recurrence occurred. Conclusion: Total retroperitoneal 3D laparoscopic nephroureterectomy for renal pelvis and ureter cancer can achieve satisfactory results, with small surgical trauma and fast recovery, which is worthy of clinical promotion.
付钰, 杨国胜, 邱晓拂, 钟瑞伦, 刘百川, 王炳卫, 李高远, 张涛, 陈波特, 刘跃加. 全后腹腔3D腹腔镜与2D腹腔镜治疗上尿路上皮癌疗效对比[J]. 微创泌尿外科杂志, 2019, 8(3): 159-162.
FU Yu, YANG Guosheng, QIU Xiaofu, ZHONG Ruilun, LIU Baichuan, WANG Bingwei, LI Gaoyuan, ZHANG Tao, CHEN Bote, LIU Yuejia. Clinical efficacy of total retroperitoneal 3D vs. 2D laparoscopy in treating upper urothelial carcinoma. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(3): 159-162.
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