To investigate the value of 3D visualization reconstruction technology in pheochromocytoma/paraganglioma surgery.The clinical data of 87 patients with pheochromocytoma/paraganglioma admitted to the Department of Urology of Peking Union Medical College Hospital between January 2019 and December 2022 were retrospectively analyzed, and 3D visualization model reconstruction was performed preoperatively in 47 patients [Group A:males was 24 cases,the age M(Q1, Q3)42.00(30.00, 54.00)]. while the remaining 40 patients [Group B: males was 23 cases,the age M(Q1, Q3) 44.00(30.25, 53.75)] was not. The maximum tumor diameter, operation time, intraoperative bleeding, drain retention time and postoperative hospital stay were compared between the two groups. Surgery was successfully completed in both groups. 37 (78.7%) patients in group A underwent laparoscopic surgery, 7 (14.9%) patients underwent open surgery, and 3 (6.4%) patients underwent laparoscopic-to-open surgery. Thirty-one (77.5%) patients in group B underwent laparoscopic surgery, 5 (12.5%) patients underwent open surgery, and 4 (10.0%) patients underwent laparoscopic to open surgery. There was a difference in the maximum diameter of the tumor between the two groups [(6.09±3.02) cm vs (5.32±1.76) cm, P<0.05], the retention time of the drainage tube was significantly shorter in group A compared with group B [(3.20±1.38) d vs (4.02±1.98) d, P<0.05], and the length of the hospital stay after surgery was significantly shorter [(5.75±2.12) d vs (6.49±3.37) d, P<0.05]. Comparison of operation time and intraoperative bleeding between the two groups showed no statistically significant difference (P>0.05).Two cases of postoperative anemia and one case of pulmonary atelectasis in group B patients improved before discharge. Conclusion when the tumor diameter is>6 cm or has a close relationship with the surrounding organs and blood vessels, the use of 3D visual reconstruction technology can formulate and implement a more accurate and safe surgical plan, shorten the retention time of the drainage tube and postoperative hospitalization time, which is conducive to the patient's postoperative recovery and reduce postoperative complications.
为探讨3D可视化重建技术在嗜铬细胞瘤/副神经节瘤手术中的应用价值，回顾性分析北京协和医院泌尿外科于2019年1月至2022年12月间收治的87例嗜铬细胞瘤/副神经节瘤患者的临床资料，将术前进行3D可视化模型重建47例患者分为A组，男24例，女23例，年龄M（Q1，Q3）42.00（30.00，54.00）岁。其余40例患者分为B组，男23例，女17例，年龄44.00（30.25，53.75）岁，未做3D可视化模型重建。比较两组患者的肿瘤最大直径、手术时间、术中出血量、引流管保留时间和术后住院时间等。结果两组患者手术均顺利完成，A组患者中，37例（78.7%）行腹腔镜手术，7例（14.9%）行开放手术，3例（6.4%）行腹腔镜转开放手术。B组患者中，31例（77.5%）行腹腔镜手术，5例（12.5%）行开放手术，4例（10.0%）行腹腔镜转开放手术。两组患者肿瘤最大直径差异有统计学意义［（6.09±3.02）cm 比（5.32±1.76）cm，P<0.05］，A组相比B组引流管保留时间缩短［（3.20±1.38）d 比（4.02±1.98）d，P<0.05］，术后住院时间亦缩短［（5.75±2.12）d 比（6.49±3.37）d，P<0.05］。两组患者手术时间和术中出血量比较，差异均无统计学意义（均P>0.05）。B组患者术后2例出现贫血，1例出现肺不张，均于出院前好转。所以当肿瘤直径>6 cm或与周围器官及血管关系密切时，利用3D可视化重建技术可以制订与实施更为精准安全的手术方案，缩短引流管保留时间和术后住院时间，有利于患者的术后恢复，降低术后并发症。.