Comparison of the clinical data between single-site and traditional retroperitoneal laparoscopic for radical nephrectomy
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摘要: 目的:对比分析单孔与传统后腹腔镜肾癌根治性切除术的手术效果,探讨单孔后腹腔镜肾癌根治术的可行性和优越性。方法:回顾性分析2015年1月~2018年6月我院35例经后腹腔单孔腹腔镜和36例传统后腹腔镜肾癌根治术患者的临床资料,对两组手术时间、术中失血量、切口累计长度、术后皮下气肿发生率、肠通气恢复时间、术后留置引流管时间、术后住院天数等临床数据进行比较。结果:两组患者在手术时间、术中失血量、术后肠通气恢复时间、术后留置引流管时间、术后住院天数等方面比较差异均无统计学意义,但单孔腹腔镜组皮下气肿发生率及切口累计长度均小于传统腹腔镜组。结论:单孔后腹腔镜肾癌根治术安全可行,与传统后腹腔镜肾癌根治术相比具有切口美观、并发症更少等优点。Abstract: Objective: To Compare the advantages and disadvantagesbetweensingle-site retroperitoneal laparoscopy and traditional laparoscopicradical nephrectomy in the treatment of renal carcinoma. Method: Clinical data of 71 cases of renal cancer patients in our hospital from 2015 to 2018 were analyzed retrospectively,including 35 cases who underwent single-site laparoscopy and 36 cases who underwent traditional laparoscopy. The operating time, intraoperative blood loss,cumulative length of incision,incidence of subcutaneous emphysema,recoverytime of intestinal function,postoperative drainage time and postoperative hospitalstay were comparedbetween two groups. Result: There wasno significant difference in operatingtime, intraoperative blood loss, postoperative recovery time of intestinal function, postoperative indwelling drainage tube time or postoperative hospital stay between the two groups. The incidence of subcutaneous emphysema and cumulative length of incision in single-site laparoscopy group were significantly lower than those in traditional laparoscopy group.Conclusion: Single-site laparoscopic radical nephrectomyis safe and feasible for the surgical treatment of renal carcinoma,and it is superior to traditional laparoscopyfor its better cosmetic effect and less complications.
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Key words:
- single site laparoscopy /
- traditional laparoscopy /
- radical nephrectomy
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