腹腔镜与开放保留肾单位手术治疗T1a期肾细胞癌的比较  

Comparison of Laparoscopic and Open Nephron-sparing Surgery for T1a Renal Cell Carcinoma

作　　者：陈强[1] 刘尚莹[1] 黄硕[1] 狐斌斌 杨文杰[1] 

机构地区：[1]山西医科大学第一临床学院,山西太原030001

出　　处：《中国医学创新》2015年第13期29-31,共3页Medical Innovation of China

摘　　要：目的:评价腹腔镜保留肾单位手术(LNSS)与开放保留肾单位手术(ONSS)治疗T1a期肾细胞癌的优劣。方法:回顾性分析60例分别行LNSS患者(n=29)与行ONSS患者(n=31)的临床资料,比较两组患者的术中出血量、手术时间、术后疼痛评分、术后引流量、术后引流管留置时间等指标。结果:LNSS组术中出血量、手术时间、术后疼痛评分、术后引流量、术后引流管留置时间明显小于ONSS组,比较差异有统计学意义(P<0.05)。结论:LNSS与ONSS组相比,LNSS是一种创伤小,术后患者疼痛评分低,手术时间短、安全性高的术式,是治疗T1a期肾细胞癌的更好的方法。Objective：To evaluate the treatment of T1a renal cell carcinoma between laparoscopic nephron-sparing surgery（LNSS）and open nephron-sparing surgery（ONSS）. Method：A retrospective analysis of 60 clinical cases including LNSS patients（n=29）and ONSS patients（n=31）was made,comparison were made in clinical indexes between peri-operative bleeding,operative time,postoperative pain scores,postoperative drainage,indwelling time of drainage tube and so on. Result：The LNSS group was significantly less than the ONSS group in peri-operative bleeding,operative time,postoperative pain scores,postoperative drainage,indwelling time of drainage tube（P〈0.05）. Conclusion：Compared with ONSS group,LNSS is a higher security surgery with little trauma,lower postoperative pain score and shorter operative time,it can be a better way to treat T1a renal cell carcinoma.

关 键 词：T1a期肾细胞癌 腹腔镜 保留肾单位 

分 类 号：R737.11[医药卫生—肿瘤]