1、Laparoscopic partial nephrenectomy with segmental artery clamping under CTA guidanceYin Changjun Yin Changjun Urology of the first affiliated hospital Urology of the first affiliated hospital of Nanjing Medical Universityof Nanjing Medical UniversityNanjing,ChinaNanjing,China殷长军CTA指导下腹腔镜肾部分切除术1CTATh
2、ree dimensional imaging of the renal artery殷长军CTA指导下腹腔镜肾部分切除术2Anatomy classification of segmental renal artery 殷长军CTA指导下腹腔镜肾部分切除术3segmental artery clamping for upper polar tumor殷长军CTA指导下腹腔镜肾部分切除术4segmental artery clamping for upper polar tumor殷长军CTA指导下腹腔镜肾部分切除术5segmental artery clamping for upper po
3、lar tumor殷长军CTA指导下腹腔镜肾部分切除术6Segmental artery clamping for posterior tumor 殷长军CTA指导下腹腔镜肾部分切除术7Segmental artery clamping for posterior tumor 殷长军CTA指导下腹腔镜肾部分切除术8Segmental artery clamping for posterior tumor 殷长军CTA指导下腹腔镜肾部分切除术9Segmental artery clamping for anterior tumor 殷长军CTA指导下腹腔镜肾部分切除术10Segmental ar
4、tery clamping for anterior tumor 殷长军CTA指导下腹腔镜肾部分切除术11Segmental artery clamping for lower polar tumor殷长军CTA指导下腹腔镜肾部分切除术12Segmental artery clamping for lower polar tumor殷长军CTA指导下腹腔镜肾部分切除术13Segmental artery clamping for endophytic tumor殷长军CTA指导下腹腔镜肾部分切除术14Segmental artery clamping for endophytic tumor殷
5、长军CTA指导下腹腔镜肾部分切除术15Segmental artery clamping for endophytic tumor殷长军CTA指导下腹腔镜肾部分切除术16Segmental artery clamping for borderline tumor殷长军CTA指导下腹腔镜肾部分切除术17Segmental artery clamping for borderline tumor殷长军CTA指导下腹腔镜肾部分切除术18 Super selective segmental artery clamping under CTA guidanceNoImageNoImage殷长军CTA指导
6、下腹腔镜肾部分切除术19NoImageNoImage Super selective segmental artery clamping under CTA guidance殷长军CTA指导下腹腔镜肾部分切除术20Major Transverse ResectionNoImageNoImage殷长军CTA指导下腹腔镜肾部分切除术21NoImageNoImageNoImageMajor Transverse Resection殷长军CTA指导下腹腔镜肾部分切除术22Variable(pre-op)No.of the patients154Tumor location,nPolar36Male,n
7、94Anterior44Age,yrs55.7813.15(1281)Posterior31BMI,kg/m222.81.4(19.125.8)Mixed(ant&post)43Tumor size,cm3.471.39(1.47)Tumor stage,nT1a98Growth pattern,n内生31T1b56外生70Preoperatove GFR level,ml/min(affected side)44.849.58(24.167.2)交界53Clinial data of LPN with segmental artery clamping under CTA guidance
8、in our centre殷长军CTA指导下腹腔镜肾部分切除术23Variable(intra-op/post-op)Operation time,min87.329.85（60120）Major complications,nMajor vessels or organ injury2Clamping time,min23.35.8 （1240）Post-op hemorrhage needs transfusion5EBL,ml230.3140.6（50800）Urine leak0Postoperative GFR level,ml/min29.058.69(9.950.0)Positive surgical margin,n0GFR reduction,%(3m,affected side)35.1215.83 (2.071.0)Follow-up,m 19(329)我科完成的我科完成的CTA指导下腹腔镜肾段动脉阻断指导下腹腔镜肾段动脉阻断肾部分切除术肾部分切除术殷长军CTA指导下腹腔镜肾部分切除术24Thank youThank you！殷长军CTA指导下腹腔镜肾部分切除术25
