后腹腔镜与开放肾癌根治术临床疗效对比分析  

Comparison of laparoscopic radical nephrectomy and open radical nephrectomy in patients with renal cell carcinoma

作　　者：陈放[1] 熊玮[1] 杜杨春[1] 吕骥[1] 钟山[1] 郭璞[1] 冉清[1] 

机构地区：[1]四川省人民医院器官移植中心,四川成都610072

出　　处：《吉林医学》2015年第5期827-829,共3页Jilin Medical Journal

摘　　要：目的:比较后腹腔镜肾癌根治术与开放肾癌根治术治疗肾细胞癌的临床疗效差异。方法:回顾性分析行肾癌根治术治疗肾细胞癌37例临床资料,其中后腹腔镜手术24例(A组),传统的开放手术13例(B组)。对两组的临床疗效及随访结果等进行对比研究。结果:两组发病年龄、性别、肿瘤大小、手术时间比较差异无统计学意义(P>0.05);A组术中出血量、术后肠功能恢复时间、术后下床活动时间、应用止痛药时间、抗生素应用时间、术后住院时间,均明显优于B组,差异有统计学意义(P<0.05)。A组并发症显著少于B组。结论:后腹腔镜肾癌根治术与开放肾癌根治术相比,手术效果相当,创伤小,痛苦少,术后恢复快,并发症少,可作为肾癌根治的首选治疗方法。Objective To compare the clinical effect of difference of retroperitoneal laparoscopic nephrectomy and open radical nephrectomy in the treatment of renal cell carcinoma.Methods A retrospective analysis of the clinical data of 37 patients underwent radical resection for the treatment of renal cell carcinoma,24 cases of laparoscopic operation after which（group A）,13 cases of the traditional open operation（group B）.The comparative study of two groups of clinical curative effects and follow-up Results.Results The two groups was not statistically significant age,gender, tumor size,operation time difference（P〉0.05）;the amount of bleeding,postoperative intestinal function recovery time,postoperative patients in group A after time out of bed,application time;application Of antibiotics,analgesics time of postoperative hospitalization time,were significantly better than that of B group,the difference was statistically significant（P〈0.05）.The complications of group A were significantly lower than group B.Conclusion Retroperitoneal laparoscopic nephrectomy and open radical nephrectomy compared,operation effect quite,small trauma,less pain,faster postoperative recovery, fewer complications,the preferred method of treatment can be used as a radical.

关 键 词：后腹腔镜 肾癌根治术 肾细胞癌 

分 类 号：R737.11[医药卫生—肿瘤]