单孔后腹腔镜与后腹腔镜肾根治性切除术的临床疗效比较  

Clinical curative effect analysis on radical nephrectomy by single port laparoscopic and retroperitoneoscopy

作　　者：张瑞敏[1] 张建国[1] 云叶[1] 赵永祥[1] 吴向铭 姜海山[1] 

机构地区：[1]包头市第四医院泌尿外科,014030

出　　处：《中华腔镜外科杂志（电子版）》2016年第3期172-174,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：包头市卫生基金(wsjj2014038)

摘　　要：目的对比单孔后腹腔镜与后腹腔镜肾根治性切除术的临床可行性及疗效分析。方法回顾性分析2011年1月至2014年6月行后腹腔镜下根治性肾切除术和单孔后腹腔镜根治性肾切除术的25例患者随访资料,统计并分析手术时间、术中出血量、术后引流时间、术后排气时间及术后住院时间等。结果单孔后腹腔镜组患者的术中出血量、术后住院时间及术后排气时间均优于后腹腔镜组患者[(37.6±18.4)ml、(5.3±2.2)d、(2.0±1.1)d]vs[(55.3±28.4)ml、(6.7±3.0)d、(2.9±1.6)d](P<0.05)。结论单孔后腹腔镜肾根治性切除术具有创伤小、瘢痕小、术中出血量少及患者恢复快等优势,减轻了患者痛苦,是肾肿瘤的微创手术治疗的新方法。Objective Make a comparison on the clinical feasibility and curative effect analysis a -bout radical nephrectomy by single port laparoscopic and retroperitoneoscopy. Methods Retrospective analysis on the followup data of 25 patients who had taken radical nephrectomy by single port laparoscopic and retroperitoneoscopy during Jan. 2011 to Jun. 2014. Count up and analysis the surgery time, bleeding volume ,active time after surgery, exsufflation t ime, hospitalization period and so on. Results Single port lap -aroscopic group of patients in the intraoperative blood loss, postoperative hospital stay, and is superior to ex-haust time after laparoscopic group of patients [ （ 37. 6 ± 18. 4 ） ml、（5 .3±2. 2 ）d 、（2. 0 ± 1.1 ） d ] vs [（55. 3 ±28. 4） m （6.7±3.0） d〉（2.9±1.6） d]（P〈 0 .0 5 ） . Conclusions Radical nephrectomy by single port laparoscopic has the advantages of less trauma, less scar, less bleeding volume during surgery and faster recovery, etc. These benefits relieve the patients pain and make the radical nephrectomy by single port laparoscopic to be a new method on renal tumor minimally invasive surgery.

关 键 词：肾肿瘤 单孔后腹腔镜 后腹腔镜 

分 类 号：R737.11[医药卫生—肿瘤]