摘要
目的:评估经后腹腔腹腔镜根治性肾切除不同阶段的手术效果,探讨经后腹腔腹腔镜根治性肾切除术的学习曲线。方法:分析2004年5月至2007年8月由同一组医师完成的60例经后腹腔腹腔镜根治性肾切除术患者的临床资料。按手术先后顺序分为A、B、C3组,每组20例,比较各组患肾切除时间、出血量、并发症和中转例数,分析不同阶段的手术效果。结果:3组病例平均年龄,性别,肿瘤分类、分期等均无明显差异。A组肾切除时间(122.68±28.16)min,显著长于B组的(82.2±20.52)min和C组的(103.10±33.11)min(P<0.05);C组肾切除时间长于B组(P<0.05);3组的出血量无显著差异。各组术中中转例数接近,术中无严重并发症发生。A组在18个月内完成,B组在13个月内完成,C组在9个月内完成。结论:我院经后腹腔腹腔镜根治性肾切除术的学习曲线约为20例。
Objective：To assess the experience in performing a retroperitoneal laparoscopic radical nephrectomy and the leaning curve during a 3-year period. Methods： Between May 2004 and Aug. 2007, a total of 60 retroperitoneal laparoscopic radical nephrectomy were performed at our institution （48 renal tumor and 12 urothelial carcinoma）. The patient charts were retrospectively reviewed to evaluate the operating time. Results ：The operating time decreased significantly after the first 20 cases ,whereas the operating time and the mean estimated blood loss of the last 20 cases were a little more than that of the middle 20 cases. Conclusions ： A retroperitoneal laparoscopic radical nephrectomy can be performed as safely as previously reported. In addition, the learning curve for it appeared to be good over initial 20 procedures at our institution.
出处
《腹腔镜外科杂志》
2008年第5期365-367,共3页
Journal of Laparoscopic Surgery
关键词
肾切除术
学习曲线
肾肿瘤
腹腔镜术
Nephrectomy
Learning curve
Kidney neoplasms
Laparoscopy
