早期肾癌腹腔镜下肾部分切除术中后腹腔与经腹腔入路的效果对比  

Comparison of retroperitoneal and transperitoneal approaches in laparoscopic partial nephrectomy for early-stage renal cancer

作　　者：张秀智 ZHANG Xiu-zhi(Department of Urinary Surgery,Donggang Central Hospital,Dandong 118300,China)

机构地区：[1]东港市中心医院泌尿外科,118300

出　　处：《中国实用医药》2023年第2期60-62,共3页China Practical Medicine

摘　　要：目的对比早期肾癌腹腔镜下肾部分切除术中后腹腔与经腹腔入路的效果。方法64例早期肾癌患者,通过抽签方式随机分为经腹腔组(持有蓝色签)及后腹腔组(持有红色签),各32例。两组患者均行腹腔镜下肾部分切除术,经腹腔组手术入路选择经腹腔,后腹腔组手术入路选择后腹腔。比较两组患者的临床指标(手术时间、术中出血量、恢复进食时间、住院时间、肾血管控制时间、肿瘤标本重量)、并发症发生情况。结果后腹腔组患者的手术时间(112.52±28.66)min、恢复进食时间(2.26±0.84)d、住院时间(6.68±1.69)d均短于经腹腔组的(136.93±36.35)min、(4.16±1.52)d、(8.53±2.11)d,差异具有统计学意义(P<0.05);两组患者的术中出血量、肾血管控制时间、肿瘤标本重量比较,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论早期肾癌患者腹腔镜下肾部分切除术中,后腹腔与经腹腔两种入路形式的治疗效果相似,但后腹腔方式下患者的手术时间、恢复进食时间与住院时间较短,患者恢复情况更理想。Objective To compare the effect of retroperitoneal and transperitoneal approaches in laparoscopic partial nephrectomy for early-stage renal cancer.Methods A total of 64 patients with early-stage renal cancer were randomly divided by lottery into the retroperitoneal group(blue label)and the transperitoneal group(red label),with 32 patients in each group.Both groups underwent laparoscopic partial nephrectomy,with the transperitoneal approaches selected for the transperitoneal group and the retroperitoneal approach selected for the retroperitoneal group.The clinical indexes(operation time,intraoperative blood loss,time to resume eating,hospitalization time,renal vascular control time,tumor specimen weight),and occurrence of complications in the two groups were compared.Results The operation time(112.52±28.66)min,time to resume eating(2.26±0.84)d,and hospitalization time(6.68±1.69)d in the retroperitoneal group were shorter than(136.93±36.35)min,(4.16±1.52)d,and(8.53±2.11)d in the transperitoneal group,and the differences were statistically significant(P<0.05).The differences were not statistically significant when comparing intraoperative blood loss,renal vascular control time,and tumor specimen weight between the two groups(P>0.05).There was no statistically significant difference between the two groups when comparing the incidence of complications(P>0.05).Conclusion In laparoscopic partial nephrectomy,the effects of retroperitoneal and transperitoneal approaches are similar,but the operation time,time to resume eating and hospitalization time are shorter,and the recovery is more ideal.

关 键 词：腹腔镜 肾部分切除术 早期肾癌 后腹腔 经腹腔 

分 类 号：R737.11[医药卫生—肿瘤]