研究目的
To evaluate the effectiveness and safety of application of diode laser (980 nm wavelength) in laparoscopic partial nephrectomy with highly selective clamping of the segmental renal arterial.
研究成果
980 nm wavelength diode laser?assisted laparoscopic partial nephrectomy with highly selective clamping of segmental renal arterial was a safe and valid therapeutic method for small renal mass. This minimal invasive therapy provided benefits of effective hemostasis, little hemorrhage, unaffected renal function, and avoidance of complications. Further studies with larger sample size and longer follow?up are required to verify its wide feasibility, disease?free survival, and overall survival.
研究不足
The small number of patients, lack of control group, single?center study, and short?term follow?up.
1:Experimental Design and Method Selection:
Retrospective review of medical records of five patients who received laparoscopic partial nephrectomy with diode laser as well as highly selective clamping of renal arterial branches.
2:Sample Selection and Data Sources:
Patients with a single tumor size <4 cm, minimum distance of 5 mm from the urinary collecting system, excluding ASA score >3, centrally located tumor, and functional single kidney.
3:List of Experimental Equipment and Materials:
Diode laser fiber (Ceralas EVOLVE Hi?Power Diode, Biolitec AG, Germany), bulldog clamp, 2?0 absorbable suture.
4:Experimental Procedures and Operational Workflow:
Kidney mobilization, renal mass exploration, segmental artery dissection and clamping, diode laser application for mass resection, renal parenchyma reconstruction.
5:Data Analysis Methods:
Collection of perioperative data including operation time, clamping time, blood loss, complications, pathological results, and postoperative serum creatinine levels.
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