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腹腔镜肾切除术在多种伴随症患者中的效果分析

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摘要 目的探讨腹腔镜肾癌根治术在术前伴有多种合并症患者的有效性与安全性。方法回顾性分析66名肾癌患者的临床资料,其中48名男性,18名女性。年龄50-83岁,平均64岁。根据合并症的多少,将患者分为两组:组1为术前合并3种或3种以上合并症的肾癌患者共20名;组2为少于3种合并症的肾癌患者共46名。分析两组患者年龄、手术时间、出血量、术中及术后并发症、术后开始进食、下地活动时间及住院时间之间的差异。结果组1患者平均年龄大于组2,两者之间差异有统计学意义(P<0.01),其余参数两组之间差异无统计学意义(P>0.01)。结论腹腔镜肾切除术对于有多种合并症的患者来说是安全有效的治疗方式。
作者 罗建庭 宋健
出处 《山西医科大学学报》 CAS 2009年第8期751-753,共3页 Journal of Shanxi Medical University
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参考文献9

  • 1马潞林,黄毅,田晓军,侯小飞,赵磊,卢剑,洪锴.后腹腔镜根治性肾癌切除术[J].中华泌尿外科杂志,2005,26(3):157-159. 被引量:76
  • 2Doublet JD, Barreto HS, Degremont AC, et al. Retroperitoneal nephrectomy :comparison of laparoscopy with open surgery [ J ]. World J Surg, 1996,20:713 - 716.
  • 3HasukicS, MesicD, DizdarevicE, et al. Pulmonary function after laparoscopic and open cholecystectomy [ J ]. Surg Endosc, 2002,16 : 163 - 165.
  • 4Eden CG, Haigh AC, Carter PG,et al. Laparoscopie nephrectomy results in better postoperative pulmonary function[ J]. J Endourol, 1994,8:419 -422.
  • 5Ng CS, Gill IS, Sung GT, et al. Retmperitoneoscopic surgery is not associated with increased carbon dioxide absorption [ J ]. J Urol, 1999,162 : 1268 - 1272.
  • 6Kercher KW, Heniford BT, Matthews BD, et al. Laparoscopic vs open nephrectomy in 210 consecutive patients : outcomes, cost, and changes in practice patterns [ J ]. Surg Endosc, 2003, 17:1889 - 1895.
  • 7Hawasli A, Boutt A, Cousins G, et al. Laparoscopic versus conventional live donor nephrectomy: experience in a community transplant program[J]. Am Surg,2001,67:342 - 345.
  • 8Andersson LE, Baath M, Thbrne A, et al. Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography [ J ]. Anesthesiology, 2005,102:293 - 299.
  • 9Rauh R, Hemmerling TM, Rist M ,et al. Influence of pneumoperitoneum and patient positioning on respiratory system compliance [ J]. J Clin Anesth,2001,13 :361 - 365.

二级参考文献10

  • 1Clayman RV, Kavoussi LR, Soper SM,et al. Laparoscopic nephrectomy:initial case report. J Urol,1991,146 :278-282.
  • 2Matthes D, Elspeth M, Ralph V, et al. Laparoscopic radical nephrectomy. J Endourology,2000,14: 849 -855.
  • 3Andrew J,Yan Yan,Jaime L,et al. Long-tern follow-up after laparoscopic radical nephrectomy. J Urol,2002,167:1257-1262.
  • 4Gill IS,McClennan BL,Kerbl K,et al. Adrenal involvement from renal cell carcinoma; predictive value of CT. J Urol, 1994,152:1082-1085.
  • 5Sagalowsky AL, Kadesky KT, Ewalt MD. Factor influencing adrenal metastasis in renal cell carcinoma. J Urol, 1994,151:1181-1184.
  • 6Michel S, Laurent S, Philippe S, et al. Multi-institutional study of complications in 1085 laparoscopic urologic procedures. Urology,2001,58:899-903.
  • 7Tiberio M, Siqueira JR,Ramsay L, et al. Major complications in 213laparoscopic . nephrectomy cases: the Indianapolis experience. J Urol,2002,168:1361-1365.
  • 8Jeffrey AC, Ono Y, Ralph VC, et al. Laparoscopic nephrectomy for renal cell cancer:evaluation of efficacy and safety:a multicenter experience. Urology, 1998,53:773-777.
  • 9袁久洪,鲍磊,陈松,李汉忠,戴晴,张锐强,臧美孚,徐峰极.肾脏良性占位病变的术前诊断(附37例报告)[J].中华泌尿外科杂志,2000,21(5):271-273. 被引量:10
  • 10潘柏年,徐仁方,郭晓,何志嵩,杨勇,张晓春,周利群,郝金瑞,那彦群,薛兆英,郭应禄.肾癌525例临床分析[J].中华泌尿外科杂志,2000,21(3):135-137. 被引量:86

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