后腹腔镜肾输尿管切除术结合经腹腔下腹正中切口治疗移植肾同侧原上尿路移行细胞癌的临床疗效

Clinical Effect of Retroperitoneal Laparoscopic Nephroureterectomy Combined with Abdominal Median Incision of Lower Abdomen Ipsilateral Renal Transplantation of Upper Tract Transitional Cell Carcinoma

目的观察经腹腔下腹正中切口结合后腹腔镜输尿管切除术治疗移植肾同侧原上尿路移行细胞癌的临床疗效。方法选取移植肾同侧原上尿路移行细胞癌患者40例,随机分为实验组和对照组,每组均为20例,实验组患者给予腹腔下腹正中切口结合后腹腔镜输尿管切除术治疗,而对照组患者给予腹腔镜输尿管切除术治疗,比较两组围手术期重要指标及随访复发和并发症发生率。结果两组患者手术所需时间,术中出血量,住院总时间,胃肠功能恢复所需时间上有显著统计学差异(P<0.05),但随访至2013年7月为止时,实验组患者的并发症发生比例及复发比例均显著低于对照组(P<0.05)。结论经腹腔下腹正中切口结合后腹腔镜输尿管切除术治疗移植肾同侧原上尿路移行细胞癌的临床疗效显著。

Objective To observe the clinical efficacy of transperitoneal midline abdominal incision combined with laparoscope ureter resection in the treatment of renal transplantation ipsilateral upper tract transitional cell carcinoma. Methods 40 cases of ipsilateral renal transplantation of upper tract transitional cell carcinoma were randomly divided into experimental group and control group, each group with 20 cases. The patients in the experimental group were given intraperitoneal abdominal incision combined with laparoscope ureter resection treatment, while the patients in the control group were treated with laparoscopic ureter resection, to compare the important perioperative indicators and follow-up recurrence and complication rate between the two groups of patients. Results The operation time, intraoperative blood loss, hospitalization time, gastrointestinal function recovery time had significantly statistical difference （P 〈 0.05） bewteen the two groups of patients, but the follow-up to July 2013 so far, the complications and recurrence rate in the experimental group patients were significantly lower than those in the control group （P 〈0.05）. Conclusion Transperitoneal midline abdominal incision combined with laparoscope ureter resection has significant clinical efficacy in the treatment of renal transplantation ipsilateral upper tract transitional cell carcinoma.