腹膜后腹腔镜肾癌根治术与开放手术临床疗效的对比研究  

Comparative study of clinical curative effect between retroperitoneal laparoscopic nephrectomy and open nephrectomy for radical treatment of renal cell carcinoma

作　　者：范波[1] 王竞[1] 范志江[1] 丁立[1] 李锋[1] 

机构地区：[1]苏州大学附属常熟医院泌尿外科,江苏215500

出　　处：《国际泌尿系统杂志》2011年第5期590-592,共3页International Journal of Urology and Nephrology

摘　　要：目的评价经腹膜后腹腔镜肾癌根治术和开放式肾癌根治术的临床疗效。方法回顾性分析30例后腹腔镜肾癌根治性手术（A组）及42例开放肾癌根治性手术患者（B组）的临床资料。结果两组手术均获成功。与B组相比，A组术中出血量少（P〈0．05）。A组平均手术时间较B组手术时同长，似二者之间差异无统计学意义（P〉0．05）。A组在镇痛药用量、胃肠道功能恢复时间、下床活动时间及术后住院时间等方面均明显优于B组（P〈0．05）。结论后腹腔镜肾癌根治术与开放肾癌根治术相比，具有出血少、康复快、并发症少等优点。Objectives To evaluate the clinical curative effect bctween retroperitoneal laparoscopie and open radical nephrcetomy for renal carcinoma. Methods The clinical data of 30 cases with renal neoplasm receiving laparoscopic retroperitoneal radical nephrectomy （ group A） and 42 cases with renal neoplasm receiving open radical nephrectomy （group B） were retrospectively analyzed. Results Patients were all successfully treated in both the groups. There was no significant difference in the operative time（ p 〉 0.05 ）. The blood loss in group A was less than that in group B（ p 〈0.05 ）. Comparision of postoperative parameters showed that the use of analgesic, resumption of oral intake and postoperative hospital stay were better in the group A than in the group B. Conclusions Comparing with traditional open radical nephrectomy , laparoscopic radical nephrectomy has the advantages of less blood loss, rapid recovery, and less complications.

关 键 词：肾肿瘤 外科手术 腹腔镜 

分 类 号：R737.11[医药卫生—肿瘤]