铥激光辅助与传统腹腔镜保留肾单位手术治疗肾血管平滑肌脂肪瘤临床疗效及安全性比较（“大家泌尿网”观看手术视频）
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Comparison of efficacy and safety of thulium laser-assisted and laparoscopic nephron-sparing surgery in the treatment of renal angiomyolipoma
HUANG Kai1，²，ZHANG Jingguang1，² ，CHEN Biao²，SHEN Zhou1.² （1.Graduate School of Bengbu Medical University，Bengbu 233000；2. Department of Urology，Centre for Leading Medicine and Advanced Technologies of IHM，The First Affiliated Hospital of USTC，Division of Life Sciences and Medicine，University of Science and Technology of China，Hefei 230o0l，China）
ABSTRACT：ObjectiveTo explore the clinical eficacyand safetyof thulium laser-asisted versus traditionallaparoscopic nephron-sparing surgery for the treatmentof exophyticrenal angiomyolipoma（AML），soas toprovidereference for the treatment selectionof this disease.MethodsTheclinical data of 43 AML patients admited toour hospitalduring Jan.2022 andNov.2O24 wereretrospectivelyanalyzed，including1Ocases inthe thulium lasergroupand33casesinthe traditional laparoscopic group.Inthe thulium laser group，renalarteryclamping was notperformed，whilethe traditionallaparoscopic group underwent conventionalrenalarteryclamping.The general and perioperativedata of the two groups were compared. ResultsAll43 patientssucessully underwent surgery，with postoperative pathological confirmation of AMLand no severe complications.Therewerenostatisticallysignificant diferencesbetweenthetwo groupsin termsof operation time， intraoperativebloodloss，hemoglobin declineonthefirstdaypostoperatively，catheterindwellingtime，and postoperative hospital stay. The thulium laser group had shorter warm ischemia time [O min vs. （2 1.88±3.84 ） min ， and less decline in estimated glomerular filtration rate（eGFR） 3 months after operation （5.74 than the traditional laparoscopic group. During a follow-up of 4-34 months，no tumor recurrence was observed. ConclusionThulium laser-asisted laparoscopic nephron-sparing surgery is safeand feasible in the treatment of exophyticrenal AML without renal artery clamping，which may have promising advantages in the protectionof renal function.
KEY WORDS：thulium laser;renal angiomyolipoma;renal artery clamping； nephron-sparing surgery; laparoscope;estimated glomerular filtration rate
中图分类号：R692.9 文献标志码：A DOI：10.3969/j.issn.1009-8291.2025.08.009
肾血管平滑肌脂肪瘤（angiomyolipoma，AML）又称肾错构瘤，是一种由血管、平滑肌和脂肪组织组成的肾脏良性肿瘤。（剩余6027字）