腹腔镜与开放性肾部分切除治疗肾肿瘤的临床疗效比较

Clinical efficacy analysis between laparoscopic and open partial nephrectomy for renal tumors

目的分析比较腹腔镜与开放性肾部分切除术治疗肾肿瘤的临床疗效。方法收集2008年7月至2013年7月在我院进行腹腔镜(LPN)和开放性(OPN)肾部分切除手术患者61例,分析比较两组患者的手术时间、术中出血量、胃肠功能恢复时间、引流时间以及术后住院天数。结果所有手术均获成功。两组手术时间为(98.5±42.3)min、(120.8±58.8)min(t=3.217,P<0.05);术中失血量为(120.4±104.1)mL、(142.1±82.5)mL(t=1.135,P>0.05);胃肠功能恢复时间为(2.7±1.3)d、(3.9±1.4)d(t=2.346,P<0.05);引流时间为(3.2±1.2)d、(3.7±1.5)d(t=0.572,P>0.05);两组术后住院天数为(8.5±2.2)d、(11.4±3.5)d(t=7.678,P<0.05)。结论LPN较OPN具有明显的优势,其手术时间短、胃肠功能恢复时间快、术后住院天数少,是治疗肾肿瘤的有效方法。

Objective To analyze and compare the clinical efficacy between laparoscopic and open partial nephrectomy for renal tumors.Methods From July 2008 to July 2013,61 cases patients in our hospital which had laparoscopic or open partial nephrectomy surgery were collected.The operation time,blood loss,stomach intestinal function recovery time,drainage time and postoperative hospital stay were compared.Results All operations were success.Operative time was（98.5±42.3）,（120.8±58.8）min（t=3.217,P〈0.05）;the blood loss was（120.4±104.1）mL,（142.1±82.5）mL（t=1.135,P〉0.05）;gastrointestinal function recovery time was（2.7±1.3）d,（3.9 ± 1.4）d（t=2.346,P〈0.05）;drainage time was（3.2 ± 1.2）d,（3.7 ± 1.5）d（t=0.572,P〉0.05）;postoperative hospital stay was（8.5 ± 2.2）d,（11.4 ± 3.5）d（t=7.678,P〈0.05）.Conclusion LPN has shorter operative time,faster recovery time of gastrointestinal function,less postoperative hospital stay and less pain then OPN.LPN can be used as an effective method.