Yan Fengqi, Dou Xiaoliang, Zhu Guangfeng, Tang Qisheng, Zhang Bo, Zhao Bo, Yu Lei, Wang He, Wang Yong
Department of Urology, Tang Du Hospital, Air Force Military Medical University, Xi'an, Shaan'xi, China.
Department of Urology, Bao Ji People's Hospital, Baoji, Shaan'xi, China.
Front Oncol. 2023 Aug 16;13:1216963. doi: 10.3389/fonc.2023.1216963. eCollection 2023.
This study aims to describe a novel laparoscopic aspirator bracket (LAB) and its use in laparoscopic nephron-sparing surgery (NSS) by a simple enucleation (SE) technique.
A total of 123 renal tumor cases who underwent laparoscopic NSS via LAB or laparoscopic aspirator between July 2017 and April 2021 were retrospectively analyzed. General characteristics, perioperative data and postoperative follow-up data of patients were compared.
The application of LAB in laparoscopic renal tumor SE surgery shortened the operation time (88.58 ± 38.25 . 102.25 ± 35.84 min, < 0.05) and improved the zero ischemia rate (18.75% . 3.39%, < 0.05), shortened warm ischemia time (16.17 ± 5.16 . 19.39 ± 5.62 min, < 0.05) and decreased intraoperative blood loss (166.19 ± 111.60 . 209.15 ± 127.10 ml, < 0.05). In addition, the serum creatinine and eGFR values in the LAB group also showed faster and better renal function recovery.
The new LAB could aspirate and expose the operative field with a single instrument. In operations that need to expose and aspirate simultaneously, such as in renal tumor simple enucleation, it could shorten operation time, reduce intraoperative blood loss and improve the postoperative renal function recovery.
本研究旨在描述一种新型腹腔镜吸引器支架（LAB）及其在腹腔镜肾部分切除术（NSS）中通过简单剜除术（SE）技术的应用。
回顾性分析2017年7月至2021年4月期间通过LAB或腹腔镜吸引器进行腹腔镜NSS的123例肾肿瘤病例。比较患者的一般特征、围手术期数据和术后随访数据。
LAB在腹腔镜肾肿瘤SE手术中的应用缩短了手术时间（88.58±38.25. 102.25±35.84分钟，<0.05），提高了零缺血率（18.75%. 3.39%，<0.05），缩短了热缺血时间（16.17±5.16. 19.39±5.62分钟，<0.05），并减少了术中出血量（166.19±111.60. 209.15±127.10毫升，<0.05）。此外，LAB组的血清肌酐和eGFR值也显示出肾功能恢复更快、更好。
新型LAB可以用单一器械吸引并暴露手术视野。在需要同时暴露和吸引的手术中，如肾肿瘤简单剜除术，它可以缩短手术时间，减少术中出血，并改善术后肾功能恢复。
