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目的比较后腹腔镜下肾癌根治术与开放性肾癌根治术的临床效果。方法回顾性分析24例后腹腔镜(A组)及28例开放手术(B组)的临床资料。结果两组手术均获成功,未输血。A组手术时间(134.6±34.2)min,略长于B组的(114.3±35.5)min。A组术中估计出血量(127.6±28.3)ml,明显少于B组的(288.1±18.5)ml(P<0.05)。A组在镇痛药用量、胃肠道功能恢复时间、下床活动时间及术后住院日等方面均明显优于开放手术组(P<0.05)。术后随访3个月~3年,两组均无肿瘤复发,未见操作通道部位或后腹腔内种植。结论与传统开放手术相比,后腹腔镜肾癌根治性手术具有出血少、创伤小、患者痛苦少、恢复快、住院时间短等特点。
Objective To compare the clinical effect of retroperitoneal laparoscopic radical nephrectomy with open radical nephrectomy. Methods The clinical data of 24 cases of retroperitoneal laparoscopy (group A) and 28 cases of open surgery (group B) were retrospectively analyzed. Results Both procedures were successful without blood transfusion. The operation time of group A was (134.6 ± 34.2) min, slightly longer than that of group B (114.3 ± 35.5) min. The intraoperative blood loss (127.6 ± 28.3) ml in group A was significantly lower than that in group B (288.1 ± 18.5) ml (P <0.05). A group was significantly better than the open surgery group in the analgesic dosage, gastrointestinal function recovery time, ambulation time and postoperative hospital stay (P <0.05). All the patients were followed up for 3 months to 3 years. There was no tumor recurrence in both groups. No part of the operation channel or intra-abdominal implantation was found. Conclusions Compared with traditional open surgery, retroperitoneal laparoscopic radical nephrectomy has the characteristics of less bleeding, less trauma, less pain, faster recovery and shorter hospital stay.