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目的 研究腹腔镜与开放肾部分切除术对局限性肾肿瘤的疗效.方法 收治患者47例,平分为两组.观察组实施腹腔镜肾部分切除术,对照组实施开放肾部分切除术,回顾性分析2010G4-2016G6间共47例肾部分切除术的完整临床资料,其中25例LPN,22例OPN.对两组患者的手术时间、术中肾热缺血时间、术中出血量、术后引流量、术后引流管留置时间、术后胃肠功能恢复时间、术后住院时间进行比较分析.结果 两组患者术后引流量、术后引流管留置时间和术后并发症比较无统计学差异(P>005).LPN组与OPN组相比,手术时间及术中肾脏热缺血时间长,差异有统计学意义(P<001)而术中出血量、后胃肠功能恢复时间、术后住院时间均优于OPN组,差异有统计学意义(P<005).结论 与开放肾部分切除术相比,腹腔镜肾部分切除术虽然手术时间和肾热缺血时间稍长,但具有失血量少、术后进食快、住院时间短等优点,是一种安全、有效、微创的方法.
Objective To study the curative effect of laparoscopic and open partial nephrectomy on localized renal tumors.Methods Totally 47 patients were divided into two groups.The patients in the observation group underwent laparoscopic partial nephrectomy and the control group underwent open partial nephrectomy.The retrospective A total of 47 cases of partial nephrectomy between 2010G4-2016G6 were analyzed, including 25 cases of LPN and 22 cases of OPN. The operation time, intrarenal renal ischemia time, intraoperative blood loss, Flow, postoperative drainage tube indwelling time, postoperative gastrointestinal function recovery time, postoperative hospital stay for comparative analysis.Results There was no significant difference in postoperative drainage, postoperative drainage catheter indwelling time and postoperative complications between the two groups (P> 0.05) .LPN group compared with OPN group, operation time and intraoperative renal warm ischemia for a long time, the difference was statistically significant (P <001) and intraoperative blood loss, after gastrointestinal function recovery time, surgery (P <0.05) .Conclusion Compared with the open partial nephrectomy, laparoscopic partial nephrectomy has a longer operative time and longer renal nephropathy, but has the advantages of Less blood loss, postoperative fasting, hospitalization Short, etc., it is a safe, effective, minimally invasive method.