精准手术3D分析规划系统在手术治疗肾细胞癌中的应用
摘要
肾癌是一种常见的泌尿系统恶性肿瘤,我国近年来发病率也不断上升[1]。目前手术已经进入微创的时代,需要提供不同的手术方式来治疗不同类型的肾癌。传统的2D影像学资料渐渐地不能完全满足精准手术和个体化治疗的需求。详细的术前成像可以为手术计划提供更多信息[2]。精准手术3D分析规划系统可为不同类型肾癌患者术前诊断、术前评估、手术方案的个体化规划和手术入路的选择提供决策。本文将对精准手术3D分析规划系统在不同临床分期肾癌的手术应用现状及发展前景进行综述。
引文
[1]张冰玉,邓显忠,朱平宇.肥胖与肾癌相关性研究进展[J].现代泌尿外科杂志,2017,22(12)962-966.
[2]Komai Y,Sakai Y,Gotohda N,et al.A Novel 3-Dimensional Image Analysis System for Case-specific Kidney Anatomy and Surgical Simulation to Facilitate Clampless Partial Nephrectom[J].Technology and Engineering,2014,83(2):501-507.
[3]王强,张旭.肾部分切除术治疗复杂性肾肿瘤的研究现状及进展[J].微创泌尿外科杂志,2016,5(5):314-319.
[4]杨国联.孤立肾及双侧肾细胞癌保肾手术23例分析[J]河南外科学杂志,2011,17(3):100-101.
[5]Klatte T,Ficarra V,Gratzke C,et al.A literature review of renal surgical anatomy and surgical strategies for partial Nephrectomy[J].Eur Urol,2015,68(6):980-982.
[6]Lane BR,Russo P,Uzzo RG,et al.Comparison of cold and warm ischemia during partial nephrectomy in 660 solitary kidneys reveals predominant role of nonmodifiable factors in determining ultimate renal function[J].Urol,2011(185):421-427.
[7]Zhu JD,Jiang F,Li P,et al.Application and analysis of retroperitoneal laparoscopic partial nephrectomy with sequential segmental renal artery clamping for patients with multiple renal tumor:initial experience[J].BMC Urology,2017,17(82):1-5.
[8]王洪臣.腹腔镜零缺血肾部分切除术对患者术后肾功能的保护[D].山东:青岛大学,2018,1-40.
[9]魏澎涛,乔保平,张寒,等.高选择性肾动脉阻断技术在腹腔镜下保留肾单位手术中的应用研究[J].中国内镜杂志,2018,24(1):56-59.
[10]胡正飞,吕世栋,黄建锋,等.3D空间测量与传统CT规划在肾肿瘤微创手术中的对比[J].南方医科大学学报,2018,38(5):606-611.
[11]那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].2014版.北京人民卫生出版社,2014,5-7.
[12]Nabi G,Cleves A,Shelley M.surgical management of localized renal cell carcinoma[J].Cochrane Datebase Syst Rev,2010,17(3):D6579.
[13]李茂章,廖锦先,周晓波,等.后腹腔镜下与开放性肾癌根治术治疗局限性肾癌的比较[J].中华腔镜泌尿外科杂志(电子版),2014,6(3):175-178.
[14]孔垂泽,姜元军.肾癌根治性切除手术切除范围的变迁[J].现代泌尿外科杂志,2018,23(3):165-168.
[15]Yang Q,Du J,Zhao ZH,et al.Fast access and early ligation of the renal pedicle significantly facilitates retroperitoneal laparoscopic radical nephrectomy procedures:modified laparoscopic radical nephrectomy Yang et al[J].World Journal of Surgica Oncology,2013,11(27):1-5.
[16]Poon S A,Silberstein J L,Chen L Y,et al.Trends in partial and Radica Nephrectomy:An Analysis of case Logs from Certifying Urologists[J]Urol,2013,190(2):464-469.
[17]薛胜,李庆文,刘建民,等.解剖性后腹腔镜根治性肾切除术快速寻找并处理肾蒂体会[J].蚌埠医学院学报,2018,43(8):1030-1032.
[2]Komai Y,Sakai Y,Gotohda N,et al.A Novel 3-Dimensional Image Analysis System for Case-specific Kidney Anatomy and Surgical Simulation to Facilitate Clampless Partial Nephrectom[J].Technology and Engineering,2014,83(2):501-507.
[3]王强,张旭.肾部分切除术治疗复杂性肾肿瘤的研究现状及进展[J].微创泌尿外科杂志,2016,5(5):314-319.
[4]杨国联.孤立肾及双侧肾细胞癌保肾手术23例分析[J]河南外科学杂志,2011,17(3):100-101.
[5]Klatte T,Ficarra V,Gratzke C,et al.A literature review of renal surgical anatomy and surgical strategies for partial Nephrectomy[J].Eur Urol,2015,68(6):980-982.
[6]Lane BR,Russo P,Uzzo RG,et al.Comparison of cold and warm ischemia during partial nephrectomy in 660 solitary kidneys reveals predominant role of nonmodifiable factors in determining ultimate renal function[J].Urol,2011(185):421-427.
[7]Zhu JD,Jiang F,Li P,et al.Application and analysis of retroperitoneal laparoscopic partial nephrectomy with sequential segmental renal artery clamping for patients with multiple renal tumor:initial experience[J].BMC Urology,2017,17(82):1-5.
[8]王洪臣.腹腔镜零缺血肾部分切除术对患者术后肾功能的保护[D].山东:青岛大学,2018,1-40.
[9]魏澎涛,乔保平,张寒,等.高选择性肾动脉阻断技术在腹腔镜下保留肾单位手术中的应用研究[J].中国内镜杂志,2018,24(1):56-59.
[10]胡正飞,吕世栋,黄建锋,等.3D空间测量与传统CT规划在肾肿瘤微创手术中的对比[J].南方医科大学学报,2018,38(5):606-611.
[11]那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].2014版.北京人民卫生出版社,2014,5-7.
[12]Nabi G,Cleves A,Shelley M.surgical management of localized renal cell carcinoma[J].Cochrane Datebase Syst Rev,2010,17(3):D6579.
[13]李茂章,廖锦先,周晓波,等.后腹腔镜下与开放性肾癌根治术治疗局限性肾癌的比较[J].中华腔镜泌尿外科杂志(电子版),2014,6(3):175-178.
[14]孔垂泽,姜元军.肾癌根治性切除手术切除范围的变迁[J].现代泌尿外科杂志,2018,23(3):165-168.
[15]Yang Q,Du J,Zhao ZH,et al.Fast access and early ligation of the renal pedicle significantly facilitates retroperitoneal laparoscopic radical nephrectomy procedures:modified laparoscopic radical nephrectomy Yang et al[J].World Journal of Surgica Oncology,2013,11(27):1-5.
[16]Poon S A,Silberstein J L,Chen L Y,et al.Trends in partial and Radica Nephrectomy:An Analysis of case Logs from Certifying Urologists[J]Urol,2013,190(2):464-469.
[17]薛胜,李庆文,刘建民,等.解剖性后腹腔镜根治性肾切除术快速寻找并处理肾蒂体会[J].蚌埠医学院学报,2018,43(8):1030-1032.