后腹腔镜肾部分切除术与开腹手术治疗早期肾肿瘤的安全性及临床效果比较

Comparison of Safety and Clinical Effect of Retroperitoneal Laparoscopic Partial Nephrectomy and Open Surgery in Treatment of Early Renal Tumor

目的:比较后腹腔镜肾部分切除术与开腹手术治疗早期肾肿瘤的安全性及临床效果。方法:选取我院收治的88例早期肾肿瘤患者,按照入院顺序随机均分为观察组和对照组两组,观察组44例患者行后腹腔镜肾部分切除术,对照组44例患者行开腹肾部分切除术,比较两组患者术中及术后情况。结果:观察组患者手术时间、术后sCr水平比较差异无统计学意义(P>0.05);观察组肾蒂阻断时间、术中出血量、术后引流管留置时间、术后引流量、术后肠功能恢复时间、术后住院时间和术后并发症发生率均低于对照组,比较差异有统计学意义(P<0.05)。结论:早期肾肿瘤患者,肾部分切除术是一种安全有效的术式。

Objective：To compare the safety and clinical effect comparison between laparoscopic partial nephrectomy and laparotomy in treatment of early renal tumor.Methods：88 cases of the early renal cancer patients were selected as the research object and were divided into the observation group and the control group according to the sequence of random, 44 cases of parients in the observation group underwent laparoscopic partial nephrectomy, and 44 cases of patients in the control group underwent laparotomy renal resection, then we compared the preoperative and postoperative situation of two groups.Results：About the operation time and postoperative sCr level between two groups, there were not statistically significant （P〉0.05）.About the renal pedicle blocking time ,the amount of bleeding,the postoperative drainage tube indwelling time the postoperative lead flow,the postoperative intestinal function recovery time,the postoperative hospital stay and postoperative complications between two groups,there were statistically significant（P〈0.05）.Conclusion：For the early renal tumors,renal resection is an effective and safe operation.