后腹腔镜肾部分切除术治疗局限性肾肿瘤的临床价值

王威

doi:10.13201/j.issn.1001-1420.2014.02.008

后腹腔镜肾部分切除术治疗局限性肾肿瘤的临床价值

王威^,

- 许昌市中心医院泌尿外科(河南许昌, 461000)

详细信息

通讯作者: 王威, E-mail:yuwangwei21@sohu.com

中图分类号: R737.11

收稿日期: 2013-08-19

Clinical values of retroperitoneal laparoscopic partial nephrectomy in the treatment of localized renal tumors

WANG Wei^,

- Department of Urology, Central Hospital of Xuchang City, Xuchang, Henan, 461000, China

More Information

Corresponding author: WANG Wei, E-mail: yuwangwei21@sohu.com

Received Date: 19 August 2013

摘要

摘要: 目的: 对比分析后腹腔镜肾部分切除术(RLPN)与开放肾部分切除术(OPN)治疗局限肾肿瘤的临床疗效。方法: 43例肾肿瘤患者随机分为两组:其中19例行RLPN,24例行OPN。观察手术时间、术中肾热缺血时间、术中出血量、术后引流量、术后胃肠功能恢复时间、术后住院时间。结果: RLPN组患者的手术时间及术中肾缺血时间均明显较OPN组长,而术中出血量则明显少于OPN组,且胃肠恢复时间及住院时间均明显较OPN组少,差异有统计学意义(P<0.05)。结论: 后腹腔镜下肾部分切除术治疗局限肾肿瘤疗效确切,出血量及并发症少,微创优势明显,是替代开放手术治疗局限肾肿瘤的有效方法。
- 肾细胞癌 /
- 保留肾单位手术 /
- 腹腔镜 /
- 肾部分切除术
Abstract: Objective: To contrastively analyze the clinical effects of retroperitoneal laparoscopic partial nephrectomy (RLPN) and open partial nephrectomy (OPN) in the treatment of localized renal tumors. Method:Forty-three cases of renal tumors were randomly divided into two groups:19 cases underwent RLPN; 24 cases underwent OPN. The data of operation time, warm ischemia time, intraoperative blood loss, postoperative drainage, postoperative gastrointestinal recovery time, postoperative hospital stay were observed. Result:Operation time and warm ischemia time of group RLPN were significantly longer than OPN group. The amount of intraoperative blood loss in group RLPN was significantly less than group OPN. Gastrointestinal recovery time and hospital stay in group RLPN were significantly shorter than OPN group. All the above data were shown statistically significant differences (P<0.05). Conclusion: The curative effects of retroperitoneal laparoscopic partial nephrectomy for localized renal tumors are evident for its less blood loss and complications. The advantages of minimal invasion are obvious. Laparoscopic partial nephrectomy is an effective alternative to open surgery for localized renal tumors.Key words renal cell carcinoma; nephron-sparing surgery; laparoscopy; partial nephrectomy
- renal cell carcinoma /
- nephron-sparing surgery /
- laparoscopy /
- partial nephrectomy

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