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在复杂的部分腎切除术中,外科医生进行的手术内超声波:从具有挑战性的瘤中获得的见解
Stelian Ianiotescu1, Constantin Gingu2,3, Nicoleta Sanda4
1Urology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
术内超声波 (IOUS) 提高了癌手术的精度,特别是在复杂的病例中,如单独的脏或复发性瘤. 这种实时成像工具可以提高瘤去除的准确性,而不会增加并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 脏瘤的脏节约手术 (NSS) 需要精确的瘤定位和切除.
- 术内超声波 (IOUS) 提供实时,高分辨率的成像,以帮助外科医生.
- 复杂的病例,包括单独的脏和复发性瘤,存在独特的外科手术挑战.
研究的目的:
- 评估手术内超声波 (IOUS) 在部分切除术中的影响和效用.
- 为了比较患有孤独脏或瘤复发的患者与患有逆侧脏的患者的结果.
- 评估IOUS在复杂脏瘤切除中的作用.
主要方法:
- 对152名接受部分切除术的患者 (2019年1月 - 2024年12月) 的回顾性分析.
- 患者被分为A组 (孤独/复发) 和B组 (逆侧).
- 术后和瘤结局的比较,注意IOUS使用 (20%的病例).
主要成果:
- 在A组 (75%) 中,IOUS的使用频率高于B组 (10%),这表明IOUS在复杂性更高的病例中使用 (p < 0.001).
- 在IOUS和非IOUS组中,积极的外科手术利率很低,并且在IOUS和非IOUS组之间相似 (3.2%对1.7%;p = 0.54).
- IOUS促进了高风险瘤在不增加并发症的情况下更好的术内瘤划分.
结论:
- 术内超声波可以提高部分切除术的外科精度和瘤安全性,特别是在复杂的瘤中.
- 在保守性脏手术中,IOUS是一个有价值的辅助器,特别是在单独的脏,复发性疾病或多焦点瘤中.
- 在具有挑战性的NSS场景中,IOUS的使用应被视为标准做法.
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