殷长军CTA指导下腹腔镜肾部分切除术

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1、LaparoscopicpartialnephrenectomywithsegmentalarteryclampingunderCTAguidanceYinChangjunUrologyofthefirstaffiliatedhospitalofNanjingMedicalUniversityNanjing,ChinaCTA——ThreedimensionalimagingoftherenalarteryAnatomyclassificationofsegmentalrenalarterysegmentalarteryclampingforupperpo

2、lartumorsegmentalarteryclampingforupperpolartumorsegmentalarteryclampingforupperpolartumorSegmentalarteryclampingforposteriortumorSegmentalarteryclampingforposteriortumorSegmentalarteryclampingforposteriortumorSegmentalarteryclampingforanteriortumorSegmentalarteryclampingforanter

3、iortumorSegmentalarteryclampingforlowerpolartumorSegmentalarteryclampingforlowerpolartumorSegmentalarteryclampingforendophytictumorSegmentalarteryclampingforendophytictumorSegmentalarteryclampingforendophytictumorSegmentalarteryclampingforborderlinetumorSegmentalarteryclampingfor

4、borderlinetumorSuperselectivesegmentalarteryclampingunderCTAguidanceSuperselectivesegmentalarteryclampingunderCTAguidanceMajorTransverseResectionMajorTransverseResectionVariable(pre-op)No.ofthepatients154Tumorlocation,nPolar36Male,n94Anterior44Age,yrs55.78±13.15(12～81)Posterior31

5、BMI,kg/m222.8±1.4(19.1～25.8)Mixed(ant&post)43Tumorsize,cm3.47±1.39(1.4～7)Tumorstage,nT1a98Growthpattern,n内生31T1b56外生70PreoperatoveGFRlevel,ml/min(affectedside)44.84±9.58(24.1～67.2)交界53ClinialdataofLPNwithsegmentalarteryclampingunderCTAguidanceinourcentreVariable(intra-op/post-op)

6、Operationtime,min87.32±9.85（60～120）Majorcomplications,nMajorvesselsororganinjury2Clampingtime,min23.3±5.8（12～40）Post-ophemorrhageneedstransfusion5EBL,ml230.3±140.6（50～800）Urineleak0PostoperativeGFRlevel,ml/min29.05±8.69(9.9～50.0)Positivesurgicalmargin,n0GFRreduction,%(3m,affected

7、side)35.12±15.83(2.0～71.0)Follow-up,m19(3～29)我科完成的CTA指导下腹腔镜肾段动脉阻断肾部分切除术Thankyou！