机器人辅助下肾窦内肿瘤精准剜除术

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ABSTRACT：Removalof endogenic renalsinus tumors which are located attherenal hilum，is recognizedas oneof the most challnging surgeries inurologyduetothecomplexanatomicaltructure.Withthehelpofthehigh-definitionfieldofvisionand flexible roboticarmsof theDa Vincirobot system，our team havecariedout precision intra-sinus tumor enucleation basedon preoperative interactive qualitativeand Interactive Quantitative Quality Assurance for 3D Imaging（IQQA-3D）acurate reconstruction technology，aswellas the clinical anatomical characteristicsof patientswithrenal sinus tumors.During operation，therenalpedicleis fullydisected，theperiilarfatisleared，andthetumorcapsuleisexposed.Subsequently，the bloodsupplytothe kidneyis blocked，and thetumor is precisely excisedalong thetumorcapsule.The vascular stumpsare sutured point-to-point，and the woundis closedand locked.After the blood supplyrestores，regional arterial oclusionis performedif necessrytoensurethesafetyof thesurgeryand maximizethepreservationofrenal function.Thisarticlediscusses thedefinitionof tumor boundaries duringrobot-assisted endogenic sinus tumor enucleation，theuseof intraoperativecooling techniques， and the improvement of surgical safety.

KEY WORDS： partial nephrectomy； precise enucleation；endogenic renal sinus tumor;robot-assisted laparoscopy摘要：肾窦内生性肿瘤属于内生性的肾门部肿瘤，由于解剖结构复杂，其外科手术治疗被公认为是泌尿外科最具挑战性的手术之一。（剩余8683字）