大体积肾癌患者腹腔镜术式及开放手术治疗的临床效果比较

Clinical comparison of laparoscopic surgery and open surgery in patients with large volume of renal cell carcinoma

目的 观察比较大体积肾癌患者腹腔镜术式及开放手术治疗的临床疗效.方法 选取2013年4月至2016年3月78例大体积肾癌患者,依据患者入院顺序将其分为研究组和对照组,每组39例,对照组给予开放手术治疗,研究组实施腹腔镜术式治疗,对两组围术期相关指标（手术时间、术中出血量、住院时间）、术后并发症情况进行观察比较.结果 研究组手术时间与对照组比较差异未见统计学意义（P〉0.05）,研究组术中出血量显著低于对照组,住院时间显著短于对照组,差异有统计学意义（P〈0.05）;术后研究组并发症总发生率显著低于对照组（P〈0.05）.结论 大体积肾癌患者行腹腔镜术式较开放手术治疗具有更显著临床优势,术中出血量显著减少,住院时间缩短,术后并发症发生率有效降低,有较广泛的临床应用价值.

Objective To observe the clinical effect of laparoscopic surgery and open surgery in patients with large volume of renal cell carcinoma.Methods Seventy-eight cases of large volume of renal cell carcinoma patients were selected from April 2013 to March 2016 in hospital outpatient department, according to the order of admission, the patients were divided into study group and control group with 39 cases in each group, the control group was given open surgery, the study group was given laparoscopic operation, the related indexes during perioperative period （operation time, intraoperative blod loss, hospitalization time）, postoperative complications of the two groups were observed and compared.Results The operation time had no significant difference between the two groups （P〉0.05）, intraoperative blod loss in the study group was significantly lower than that in the control group,the hospitalization time in the study group was significantly shorter than that in the control group （P〈0.05）;the overall complication rate after operation of 5.12% in the study group was lower than the control group of 28.21%, there was significantly differences between the two groups （P〈0.05）.Conclusions The large volume of renal cell carcinoma patients underwent laparoscopic compared with operation open surgery has more significant clinical advantages, it can reduce the amount of bleeding significantly and shorten the hospitalization time, reduce postoperative complications, so it has wide clinical application value.