混合现实平台影像辅助技术对复杂性肾肿瘤机器人肾部分切除术临床疗效的影响

doi:10.19558/j.cnki.10-1020/r.2020.02.001

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摘要 目的：探讨混合现实（MR）技术应用于机器人手术治疗复杂性肾肿瘤的可行性和有效性。方法：随机将2018年6月–2019年6月依据CT或磁共振扫描诊断为复杂性肾肿瘤的50例患者分为MR辅助组和传统手术组;比较两组的围手术期相关指标、术后并发症情况及病理学结果等资料,统计学方法采用t检验和卡方检验,不满足正态方差齐性计量资料选择非参数检验。结果：两组间术者情况和基线资料差异无统计学意义,两组患者在术后24 h内引流量、术后第1天肌酐上升比例、术后住院时间及禁食天数方面对比均差异无统计学意义（P>0.05）,而两组患者在术中出血量、手术时间及热缺血时间方面的比较差异有统计学意义（P<0.05）。结论：MR技术辅助机器人手术针对复杂性肾肿瘤治疗,能够缩短手术时间及热缺血时间,有利于术者制定更佳的手术策略,与传统机器人手术相比可在不增加并发症发生率及住院时间的基础上,使复杂性肾肿瘤肾部分切除术更加安全、有效地保护患者的肾功能,有望进一步广泛应用于临床。

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	杨阳
	朱捷
	高宇
	张鹏
	黄庆波
	杨罗佳
	沈诞
	宋勇
	符伟军
	马鑫
	张旭

关键词 ：混合现实技术, 机器人手术, 复杂肾肿瘤, 预后

Abstract：Objective： To explore the effect of MR technology on the clinical efficacy of robotic surgery for complex renal tumors. Methods： From June 2018 to June 2019, a total of 50 patients with complex renal tumors diagnosed by CT or MRI were randomly divided into two groups: MR assisted group and traditional robotic operation group. The data of perioperative related indexes, postoperative complications and pathological results were compared between the two groups. T-test and chi square test were used in statistical method, nonparametric test is used for the selection of measurement data that does not meet the homogeneity of normal distribution variance. Results： There was no significant difference between two groups in the proportion of surgeons ,baseline data, drainage within 24 hours after operation, the proportion of creatinine rise on the first day after operation, the length of hospital stays and fasting days after operation (P > 0.05), but there was significant difference between the two groups in the amount of bleeding, operation time and WIT (P < 0.05). Conclusion： Compared with the traditional robot surgery, MR assisted robotic surgery can shorten the operation time and WIT, reduce the amount of bleeding during operation, and help the operator to make better operation strategy. On the basis of not increasing the incidence of complications and hospital stays, MR assisted robotic surgery can reserve more renal function, which is going to used widely in clinical practice.

Key words： mixed reality robotic surgery complex renal tumors prognosis

收稿日期: 2019-12-29

ZTFLH:

R737.11

基金资助:北京市自然科学基金青年项目（7194319）

通讯作者: 张旭,xzhang@foxmail.com

引用本文:

杨阳, 朱捷, 高宇, 张鹏, 黄庆波, 杨罗佳, 沈诞, 宋勇, 符伟军, 马鑫, 张旭. 混合现实平台影像辅助技术对复杂性肾肿瘤机器人肾部分切除术临床疗效的影响[J]. 微创泌尿外科杂志, 2020, 9(2): 73-77.
YANG Yang, ZHU Jie, GAO Yu, ZHANG Peng, HUANG Qingbo, YANG Luojia, SHEN Dan, SONG Yong, FU Weijun, MA Xin, ZHANG Xu. Effect of mixed reality-assisted robotic surgery on the treatment of complex renal tumors. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(2): 73-77.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1573.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2020/V9/I2/73

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