后腹腔镜肾癌根治术对T_2期肾癌疗效以及安全性评价

The Efficacy and Safety Evaluation of Retroperitoneal Laparoscopic Radical Nephrectomy for T_2 Renal Cell

目的:探讨后腹腔镜肾癌根治术对T2期肾癌的临床治疗效果和安全性。方法:选取2006年9月-2010年10月来笔者所在医院就诊治疗的50例T2期肾癌患者,随机分为治疗组和对照组,分别采用后腹腔镜肾癌根治术和常规开放式手术,比较两组的手术情况和术后并发症发生率,评价临床疗效和安全性。结果:治疗组手术时间、术中出血量以及愈合时间均低于对照组,并且术后并发症及复发、转移的发生率也少于对照组,差异均有统计学意义(P<0.05)。结论:后腹腔镜肾癌根治术治疗T2期肾癌安全有效,值得临床进一步推广。

Objective： To analyze the clinical safety and validity of the relroperitoneal laparoscopic radical nephrectomy for T2 renal cancer.Methods： 50 cases T2 renal cancer inpaticnts from September 2006 to October 2010 were randomly divided as research group and control group, respectively conducted retroperitoneal laparoscopie radical nephrectomy and traditional surgery.Then to compared the condition of surgery and morbidity of postoperative complications between the two groups in order to analyze the clinical safety and validity.Results： The surgery duration, the volume of blood during surgery, the healing time and morbidity of postoperative complications in research group were lesser than control group, there were significantly difference between the two groups（P〈0.05）. Conclusion ： Retroperitoneal laparoscopic radical nephreetomy is more safer and effective, it is worth utilizing in clinical.