CAJ | 학술논문

目的：探讨3D高清腹腔镜成像系统在泌尿外科手术中的应用效果。方法应用STORZ 3D高清腹腔镜成像系统完成14例泌尿外科手术，统计手术时间、出血量、缝合时间、术后住院天数等数据。结果14例患者均顺利完成手术。主要术式有肾癌根治术、无功能肾（脓肾）切除术、肾上腺肿瘤切除术、输尿管狭窄段切除再吻合术、输尿管切开取石术、根治性全膀胱切除术等。手术时间29～246（152．58±45．60）min，术中出血量10～450（147．70±91．09）ml，术中输血1例；术后住院时间6～15 d，平均8．5 d，无并发症发生，无因手术死亡。结论3D高清腹腔镜成像系统应用于泌尿外科手术能提供清晰、立体的手术空间，定位准确，手术效果好，有较好的应用前景。
목적：탐토3D고청복강경성상계통재비뇨외과수술중적응용효과。방법응용STORZ 3D고청복강경성상계통완성14례비뇨외과수술，통계수술시간、출혈량、봉합시간、술후주원천수등수거。결과14례환자균순리완성수술。주요술식유신암근치술、무공능신（농신）절제술、신상선종류절제술、수뇨관협착단절제재문합술、수뇨관절개취석술、근치성전방광절제술등。수술시간29～246（152．58±45．60）min，술중출혈량10～450（147．70±91．09）ml，술중수혈1례；술후주원시간6～15 d，평균8．5 d，무병발증발생，무인수술사망。결론3D고청복강경성상계통응용우비뇨외과수술능제공청석、입체적수술공간，정위준학，수술효과호，유교호적응용전경。
Objective To explore the effect of three-dimentional(3D) high-definition(HD) laparoscopic imaging system applied to the urologic surgical procedures .Methods STORZ 3D HD laparoscopic imaging system was adopted to urologic surgical procedures in 14 cases.The data including operation duration ,blood loss,suture time and postoperative hospital stay were counted .Results Fourteen patients underwent the operation successfully .The main operation methods included radical nephrectomy ,simple nephrectomy ,resection of adrenal tumor ,transperitoneal resection of urethral stricture and reanastomosis ,ureterolithotomy and radical total cystectomy .The operation duration was 29-246(152.58 ±45.60)minutes.The intraoperative blood loss was 10-450(147.70 ±91.09)ml,1 case needed intraoperative blood transfusion.The postoperative hospital stay ranged from 6 to 15 days,average 8.5 days.No complications occurred ,no cases died from operation.Conclusion 3D HD laparoscopic imaging system provides a clear and three-dimensional operation field,accurate positioning, and excellent operative effect for urologic surgical procedures .It has a good application prospect .