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目的:探讨3D腹腔镜成像系统在泌尿外科手术中的应用。方法:2014年5月~2014年6月应用德国蛇牌3D HD腹腔镜系统完成腹腔镜手术6例,包括肾囊肿去顶减压术3例,肾上腺肿瘤切除术2例,肾蒂淋巴管结扎术1例,统计手术时间、出血量、术后住院时间等数据。结果:6例手术均获成功,无中转开腹。手术时间20~70min,其中肾囊肿去顶减压术20~30min,肾上腺肿瘤切除术25~60min,肾蒂淋巴管结扎术70min;术中出血量20~30ml。术后住院时间4~8d,平均5.8d。结论:3D腹腔镜成像系统是传统腹腔镜技术的一大进步,降低了手术难度,缩短了手术时间。该系统具备传统腹腔镜与开放手术的共同优势,手术解剖更精确,手术操作相对更容易。
Objective: To investigate the application of 3D laparoscopic imaging system in urological surgery. Methods: From May 2014 to June 2014, 6 cases of laparoscopic surgery were performed using the German serpent 3D HD laparoscopic system, including 3 cases of renal cyst debridement and decompression, 2 cases of adrenal tumor resection and renal pedicle lymphatic ligation Surgery in 1 case, statistical operation time, bleeding, postoperative hospital stay and other data. Results: All the 6 surgeries were successful without laparotomy. The operation time was 20-70min, including removal of renal cyst by 20-30min, resection of adrenal tumor 25-60min, ligature of renal pedicle lymphatic vessel 70min, and blood loss 20-30ml. Postoperative hospital stay 4 ~ 8d, an average of 5.8d. Conclusion: 3D laparoscopic imaging system is a great improvement of traditional laparoscopic technique, which reduces the difficulty of operation and shortens the operation time. The system has the advantages of traditional laparoscopy and open surgery, surgical dissection more accurate, surgical operation is relatively easier.