3D腹腔镜和2D腹腔镜腹膜后淋巴结清扫术对治疗临床Ⅰ期非精原细胞瘤的初步对比研究

doi:10.19558/j.cnki.10-1020/r.2021.06.007

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摘要 目的：比较3D腹腔镜和2D腹腔镜腹膜后淋巴结清扫术对临床Ⅰ期非精原细胞瘤的治疗效果。方法：回顾性分析2009年1月–2021年7月广东省第二人民医院收治的术前临床分期均为Ⅰ期的27例睾丸癌患者的临床资料,所有患者均经病理学检查确诊为非精原细胞瘤,行腹腔镜下腹膜后淋巴结清扫术的时间为根治术后1~4周。结果：手术均顺利完成。3D腹腔镜组15例,手术操作时间(185.0±27.9)min,术中出血量(165.0±35.3)mL,术后肠道恢复时间(31.0±8.2)h,住院时间(7.0±1.1)d;2D腹腔镜组12例,手术操作时间(230.0±43.8)min,术中出血量(227.0±48.6)mL,术后肠道恢复时间(33.0±7.3)h,住院时间(8.0±0.6)d。平均随访27个月（3~65个月）,未发现肿瘤复发或转移的迹象。结论：3D腹腔镜下腹膜后淋巴结清扫应用于Ⅰ期非精原细胞瘤在技术上可行,具有微创、术后恢复快、并发症少的优点。

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	李高远
	邱晓拂
	刘百川
	付钰
	钟瑞伦
	王炳卫
	王健富
	张涛
	陈波特

关键词 ： 3D腹腔镜, 2D腹腔镜, 非精原细胞瘤, 腹腔镜腹膜后淋巴结清扫术

Abstract：Objective： To evaluate the efficacy of 3D vs. 2D laparoscope retroperitoneal lymph node dissection （LRPLND） for clinical stageⅠnonseminomatous germ cell tumors （NSGCTs）. Method： From January 2009 to July 2021, 23 patients with clinicalstageⅠNSGCTsreceived LRPLND during 1-4weeks after orchiectomy. All of their clinical stage were stageⅠand NSGCTs were confirmed pathologically. The operating time, intraoperative blood loss, postoperative intestinal function recovery time and hospital stay were collected. Results： 3D laparoscope group had 15 cases. The mean surgical time was （185.0 ± 27.9） min. The mean intraoperative bleeding loss was （165.0 ± 35.3） mL.The mean postoperative intestinal function recovery time was （31.0 ± 8.2） h. The hospital stay was （7.0 ± 1.1） d. 2D laparoscope group had 12 cases.The mean surgical time was （230.0 ± 43.8） min.The mean intraoperative bleeding loss was （227.0 ± 48.6） mL. The mean postoperative intestinal function recovery time was （33.0 ± 7.3） h. The hospital stay was （8.0 ± 0.6） d. The mean follow-up period was 27 months. All patients revealed no evidence of recurrence or distant metastasis. Conclusion： RPLND technology under 3D laparoscope was feasible, which had an advantage of minimalinvasion and fast postoperative recovery. It was a reliable method to treat low differentiated nonseminomatous germ cell tumors.

Key words： 3D laparoscope 2D laparoscope nonseminomatous germ cell tumor retroperitoneal lymph node dissection

收稿日期: 2021-03-01

ZTFLH:

R737.21

通讯作者: 邱晓拂,xfqiu123@163.com

引用本文:

李高远, 邱晓拂, 刘百川, 付钰, 钟瑞伦, 王炳卫, 王健富, 张涛, 陈波特. 3D腹腔镜和2D腹腔镜腹膜后淋巴结清扫术对治疗临床Ⅰ期非精原细胞瘤的初步对比研究[J]. 微创泌尿外科杂志, 2021, 10(6): 390-394.
LI Gaoyuan, QIU Xiaofu, LIU Baichuan, FU Yu, ZHONG Ruilun, WANG Bingwei, WANG Jianfu, ZHANG Tao, CHEN Bote. 3D vs. 2D laparoscopy retroperitoneal lymph node dissection in the treatment of clinical stageⅠnonseminomatous germ cell tumors. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(6): 390-394.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1720.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I6/390

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