摘要
目的比较后腹腔镜下肾部分切除术与传统开放肾部分切除术治疗肾肿瘤的临床疗效,探讨后腹腔镜下肾部分切除术的临床价值。方法回顾分析54例肾部分切除术患者的临床资料,其中24例行后腹腔镜肾部分切除术(LPN组),30例行开放肾部分切除术(OPN组)。结果 LPN组与OPN组的手术时间和并发症发生率的差异无统计学意义(P>0.05),而术后住院天数、术后进食时间、热缺血时间、术中出血量的差异有统计学意义(P<0.05),随访3～36个月,无局部复发、转移。结论后腹腔镜肾部分切除术是一种安全可行的技术,临床疗效与开放手术相似。
Objective To investigate the clinical effects and value of retroperitoneal laparoscopic partial nephrectomy（LPN）in treating renal tumor.Methods 54 cases of renal tumor were reviewed for the clinical data,among which 24 cases（group LPN）received retroperitoneal LPN,30 cases（group OPN）were treated by open partial nephrectomy.Results No significant differences were seen in operating time and complication incidence between the two groups（P0.05）.But the LPN group was significantly different from OPN group in hospitalization time,food recovery time after operation,warm ischemia time,and blood loss during operation（P0.05）.The followi-up time was 3-36 months without local recurrence and metastasis.Conclusion Laparoscopic partial nephrectomy is a safe,feasible technique for patients with small renal tumors,with similar clinical efficacy to open surgery.
出处
《医学综述》
2012年第6期937-939,共3页
Medical Recapitulate
关键词
肾部分切除术
肾肿瘤
腹腔镜
Partial nephrectomy
Renal tumors
Laparoscopy
