PDF(Pubmed)
Abstract：
BACKGROUND: There are several types of benign renal diseases, such as urological stones, ureteropelvic junction obstruction, renal vascular disease, and inflammation, which are responsible for nonfunctioning kidneys. Laparoscopic nephrectomy (LN) is the gold standard for treating nonfunctioning kidneys with complications. This study presents the results of our initial experiences with 3D laparoscopic nephrectomy (3D-LN) for benign, nonfunctioning kidneys.
METHODS: From July 2021 to July 2023, 40 consecutive patients who underwent 3D transperitoneal laparoscopic nephrectomy were retrospectively evaluated at the Department of Urology and Department of General Surgery, Hue Central Hospital, Hue, Vietnam. Patient demographics, intraoperative and early postoperative results, postoperative recovery, complications, and three-month follow-up results were recorded.
RESULTS: The mean age was 58.35 ± 14.9 years. There were 13 (32.5%) male and 27 (67.5%) female patients. Flank pain was the main reason for hospitalization in 33 cases (82.5%); the common cause of a nonfunctioning kidney was urological stones (62.5%). Twenty-three out of 40 patients underwent a left nephrectomy. The average operative time was 92.57 ± 28.69 minutes. A statistically significant difference in surgery time was found between the group with no adhesion and the group with mild adhesion, as well as between the first 19 patients and the last 18 patients (p <0.05). The mean blood loss was 51.62 ± 24.35 ml. Three cases were converted to open surgery due to severe adhesions. The postoperative complications rate was 8.1%. The average length of the postoperative hospital stay was 7.89 ± 3.59 days.
CONCLUSIONS: Three-dimensional laparoscopic nephrectomy is a safe and effective method that increases depth perception and spatial orientation for surgeons and can compensate for the remaining shortcomings of traditional 2D systems.
METHODS: From July 2021 to July 2023, 40 consecutive patients who underwent 3D transperitoneal laparoscopic nephrectomy were retrospectively evaluated at the Department of Urology and Department of General Surgery, Hue Central Hospital, Hue, Vietnam. Patient demographics, intraoperative and early postoperative results, postoperative recovery, complications, and three-month follow-up results were recorded.
RESULTS: The mean age was 58.35 ± 14.9 years. There were 13 (32.5%) male and 27 (67.5%) female patients. Flank pain was the main reason for hospitalization in 33 cases (82.5%); the common cause of a nonfunctioning kidney was urological stones (62.5%). Twenty-three out of 40 patients underwent a left nephrectomy. The average operative time was 92.57 ± 28.69 minutes. A statistically significant difference in surgery time was found between the group with no adhesion and the group with mild adhesion, as well as between the first 19 patients and the last 18 patients (p <0.05). The mean blood loss was 51.62 ± 24.35 ml. Three cases were converted to open surgery due to severe adhesions. The postoperative complications rate was 8.1%. The average length of the postoperative hospital stay was 7.89 ± 3.59 days.
CONCLUSIONS: Three-dimensional laparoscopic nephrectomy is a safe and effective method that increases depth perception and spatial orientation for surgeons and can compensate for the remaining shortcomings of traditional 2D systems.
摘要：
背景：有几种类型的良性肾脏疾病，比如泌尿系统结石，肾盂输尿管连接部梗阻,肾血管疾病，和炎症，是造成肾脏无功能的原因。腹腔镜肾切除术（LN）是治疗无功能肾脏并发症的金标准。这项研究提供了我们的3D腹腔镜肾切除术（3D-LN）的初步经验的结果，无功能的肾脏.
方法：从2021年7月至2023年7月，在泌尿外科和普外科接受3D经腹膜腹腔镜肾切除术的40例连续患者进行了回顾性评估，顺化中心医院,色调,越南。患者人口统计学，术中和术后早期结果，术后恢复,并发症,并记录3个月的随访结果.
结果：平均年龄为58.35±14.9岁。男性13例（32.5%），女性27例（67.5%）。33例（82.5%）中，腰痛是住院的主要原因；肾脏无功能的常见原因是泌尿系结石（62.5%）。40例患者中有23例接受了左肾切除术。平均手术时间为92.57±28.69分钟。无粘连组与轻度粘连组手术时间差异有统计学意义,以及前19名患者和后18名患者之间（p<0.05）。平均失血量为51.62±24.35ml。3例因严重粘连转为开放手术。术后并发症发生率为8.1%。术后平均住院时间为7.89±3.59天。
结论：三维腹腔镜肾切除术是一种安全有效的方法，可以增加外科医生的深度感知和空间定向，并可以弥补传统2D系统的剩余缺点。
方法：从2021年7月至2023年7月，在泌尿外科和普外科接受3D经腹膜腹腔镜肾切除术的40例连续患者进行了回顾性评估，顺化中心医院,色调,越南。患者人口统计学，术中和术后早期结果，术后恢复,并发症,并记录3个月的随访结果.
结果：平均年龄为58.35±14.9岁。男性13例（32.5%），女性27例（67.5%）。33例（82.5%）中，腰痛是住院的主要原因；肾脏无功能的常见原因是泌尿系结石（62.5%）。40例患者中有23例接受了左肾切除术。平均手术时间为92.57±28.69分钟。无粘连组与轻度粘连组手术时间差异有统计学意义,以及前19名患者和后18名患者之间（p<0.05）。平均失血量为51.62±24.35ml。3例因严重粘连转为开放手术。术后并发症发生率为8.1%。术后平均住院时间为7.89±3.59天。
结论：三维腹腔镜肾切除术是一种安全有效的方法，可以增加外科医生的深度感知和空间定向，并可以弥补传统2D系统的剩余缺点。
