摘要
目的比较评价腹腔镜肾肿瘤根治性切除术与开放手术的临床效果。方法对限期行肾肿瘤的患者均衡分成腹腔镜和开放手术组共53例。对腹腔镜组及开放手术组的手术时间、术中失血、用止痛剂、住院天数进行统计。并对患者长期随访,比较两组的生存率、切口愈合情况及转移情况。结果两组手术均获成功,术前两组患者各项检测指标与正常人无差异。腹腔镜组与开放手术组的患病病例构成、性别构成(P>0.75)、肿瘤临床分期(P>0.25)、年龄(P>0.05)和肿块大小(P>0.05)两组差异无显著性。腹腔镜组平均手术时间为(66.66±10.37)min,而开放手术组为(69.08±11.22)min,两组差异无显著性(P>0.05);术后住院天数腹腔镜组(6.92±0.96)d明显少于开放手术组(11.42±1.57)d(P<0.05);术中失血腹腔镜组(72.03±10.37)mL明显少于开放手术组(154.42±20.42)mL(P<0.01),腹腔镜组术后2人次用止痛剂,开放手术组术后20人次应用度冷丁止痛,两组差异有显著性(P<0.01)。结论与传统的根治性肾肿瘤切除术相比,腹腔镜肾肿瘤根治术具有手术时间短、出血少、住院天数短、康复快、并发症少等优点。
[Purpose] Compared with open radical nephrectomy. To evaluate the clinical results of retroperitoneal laparocopic radical nephrectomy. [Methods] From 12005 to 62005, 53 patients with renal cell carcinoma admired to Changzheng hospial were randomized to two groups. Operation time, hospital stay, painkiUer, amount of bleeding during operation were compared, and all the cases are under watchful follow-up. [Results] Two groups were undergone successfully, Operative time of LN group is （66.66±10.37） min. Operative time of ON group is （69.08±11.22min）. In the LN group, painkiller, hospital stay and blood loss decreased considerably than ON group. We have not found any local relapse and tumor seeding of the port sites during follow-UP. [Conclusion] Compared with classical open radical nephrectomy, laparoscopic radical nephrectomy has the advantages ofrapid recovery and less pain, less blood loss. Laparescopic radical nephrectomy was a safe, effective and efficient surgical procedure.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第2期120-122,125,共4页
China Journal of Endoscopy
