后腹腔镜下肾部分切除术治疗肾肿瘤的临床分析

Clinical analysis of laparoscopic partial nephrectomy in treatment of renal cancer

目的 研究应用后腹腔镜下肾部分切除术治疗肾肿瘤患者在临床上的安全性和疗效的确切性及对生存质量的影响。方法 选取本院2014年6月-2015年10月间收治的70例肾肿瘤患者,35例采用后腹腔镜下肾部分切除术为观察组,另35例采用传统开放肾部分切除术为对照组。比较两组术后住院天数、手术时间、术中出血量、热缺血时间及并发症发生情况。结果 所有手术均成功,无一例失败。观察组的住院时间、手术时间、术中出血量均少于对照组,而术中平均热缺血明显高于对照组,两组差异有高度统计学意义（P〈0.01）。对照组并发症6例,观察组为1例,两组并发症亦有明显差异。结论 临床上应用后腹腔镜下肾部分切除术疗效确切,值得深入研究并推广。

Objective To explore the clinical safety and efficacy and its influence on quality of life of laparoscopic partial nephrectomy in treatment of renal cancer. Methods 70 eases of renal cancer patients were selected in our hospital from June 2014 to October 2015, 35 cases with laparoscopic partial nephrectomy were as observation group, the other 35 cases with traditional open partial nephrectomy were as the control group. During the course of treatment, the postoperative hospitalization days,operation time,intraoperative blood loss,warm ischemia time and complications were compared. Results All operations were successful,no failure.Length of hospital stay, operation time and intraoperative blood loss in observation group Were less than the control group,patients with ischemia and intraoperative average was significantly higher than that of control group（P〈0.01）. There were 6 cases with complication in control group, while only 1 case in observation group. Two groups had significant difference in complications. Conclusion After the clinical application of laparoscopie partial nephrectomy may have higher security,curative effect and is worth further research and promotion.