腹膜后腹腔镜下根治性肾切除术65例临床分析

The clinical analysis of 65 cases of laparoscopic radical nephrectomy by retroperitoneal

目的 探讨腹膜后腹腔镜下根治性肾切除术的临床疗效.方法 分析腹膜后腹腔镜下根治性肾切除术65例（观察组）的临床资料,并与同期开放性手术治疗的50例（对照组）进行比较.结果 观察组手术时间、术中出血量、住院时间、切口感染、肺感染、高碳酸血症、肠损伤均低于对照组（t =7.60、8.38、8.83,Х^2 =8.33、6.19、4.08、4.08,均P＜0.05）；两组肾癌患者切缘阳性率、局部复发率、远处转移率差异均无统计学意义（均P＞0.05）.结论 腹膜后腹腔镜下根治性肾切除术创伤小、恢复快、并发症少,预后良好,值得临床推广应用.

Objective To explore the clinical effect of laparoscopic radical nephrectomy by retroperitoneal in 65 cases.Methods 65 patients who received retroperitoneal laparoscopic radical nephrectomy were selected as the observation group,and their clinical data were analyzed.At the same period,S0 patients treated by open operation were selected as the control group.The clinical effect was compared between the two groups.Results The operation time,intraoperative blood loss,hospital stay,incision infection,pulmonary infection,hypercapnia,intestinal injury of observation group were lower than those of control group （t =7.60,8.38,8.83,Х^2 =8.33,6.19,4.08,4.08,all P 〈0.05）.The positive margin rate,local recurrence rate,distant metastasis rate of two groups were not significantly different （P 〉 0.05）.Conclusion Laparoscopic radical nephrectomy by retroperitoneal has advantages of small wound,quicker recovery,less complications and good prognosis,which is worthy of clinical application.