后腹腔镜下肾盂癌根治术的临床效果

Clinical value of retroperitoneoscopic radical operation of renal pelvis carcinoma

目的探讨肾盂癌患者应用后腹腔镜下根治术的临床效果。方法选取2008年7月至2014年6月间收治的肾盂癌患者80例,按照治疗方法的不同分为对照组(40例)和观察组(40例)。对照组患者采用传统开放手术方案,观察组患者采用后腹腔镜手术治疗,观察两组患者的临床治疗效果。结果观察组患者术中出血量、术后引流量少,手术时间、住院时间、拔管时间和胃肠功能恢复时间更短,并发症的发生率更低,与对照组差异有统计学意义(P<0.05)。结论后腹腔镜下肾盂癌根治手术的近远期疗效与开放手术无明显差异,但患者的创伤小,并发症少,术后恢复快,值得临床推广应用。

Objective To investigate the clinical effect of retroperitoneoscopic radical operation of renal pelvis carcinoma. Methods From July 2008 to June 2014,80 cases with renal pelvis carcinoma were selected in the study,and they were randomly divided into control group（ 40 cases） and observation group（ 40 cases）. The patients in the control group used the traditional open operation scheme,and the patients in the observation group used retroperitoneoscopic radical operation. The clinical therapeutic effect of two groups were observed. Results Compared with the control group,the intraoperative bleeding volume,postoperative drainage volume of the observation group were less,and the operation time,hospitalization time,extubation time,gastrointestinal function recovery time of the observation group were shorter,and the incidence of complications was lower,with significant differences（ P〈0. 05）. Conclusions Compared with open surgery,the short and long term effects of the retroperitoneoscopic radical operation of renal pelvis were nearly the same,but with little trauma,less complications,rapid postoperative recovery,and it is worthy of clinical application.