较大肾癌后腹腔镜根治术与开放手术的比较  

Comparison between Retroperitoneal Laparoscopic Radical Nephrectomy and Open Surgery for Large Renal Carcinoma

作　　者：孙德康[1] 高振利[1] 王琳[1] 赵俊杰[1] 姜仁慧[1] 王建明[1] 

机构地区：[1]山东省烟台毓璜顶医院泌尿外科,烟台264000

出　　处：《中国微创外科杂志》2008年第4期300-302,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨后腹腔镜治疗较大肾肿瘤的效果。方法2002年2月～2005年8月,对31例较大肾肿瘤(肿瘤最大直径>5cm),17例采用后腹腔镜肾癌根治术(后腹腔镜组),14例采用侧卧位经腰部切口肾癌根治术(开放组),进行对照研究。结果2组手术均获成功。与开放组相比,后腹腔镜组术中出血量少[(245.9±75.5)mlvs(640.5±174.8)ml,t=-8.425,P=0.000]。2组手术时间[(164.8±44.6)minvs(182.7±30.3)min,t=-1.277,P=0.212],术后住院时间[(7.1±3.2)dvs(9.6±5.7)d,t=-1.541,P=0.134)],术后生存率(Log-rank检验χ2=0.243,P=0.622)差异无显著性。结论后腹腔镜较大肾肿瘤根治术,与传统开放手术相比疗效相似,并具有安全、出血少等优势。Objective To evaluate the efficacy of retroperitoneal laparoscopic radical nephrectomy(RLRN)for large renal carcinoma.Methods From February 2002 to August 2005,a total of 31 patients with large renal carcinoma(> 5 cm in diameter)were enrolled in this study.Aomong the patients,17 underwent RLRN,and 14 patients received open radical nephrectomy(ORN).The outcomes of the two groups were compared.Results In both the groups,the operations were completed.The blood loss in RLRN group was less than that in ORN gr...

关 键 词：后腹腔镜手术 肾癌 

分 类 号：R737.11[医药卫生—肿瘤]