摘要
目的探讨达芬奇机器人辅助腹腔镜根治性肾切除术(RALRN)以及后腹腔镜根治性肾切除术(RLRN)对肾恶性肿瘤的效果,探讨机器人手术临床应用价值。方法选取我院泌尿外科2014年10月—2015年12月收治的拟行根治性肾切除术的肾恶性肿瘤病人44例,根据手术方式的不同分为RALRN组21例和RLRN组23例。对两组病人的手术时间、术中出血量、引流管留置天数、术后引流量、肠道功能恢复时间、术后住院时间及术后并发症等各项临床指标进行比较分析。结果两组病人术中出血量、术后引流量及术后住院天数比较,差异均有显著性(t=2.092~2.508,P<0.05)。结论 RALRN是治疗肾恶性肿瘤的安全、可靠的术式。
Objective To investigate the clinical effect of Da Vinci robot-assisted laparoscopic radical nephrectomy(RALRN)versus retroperitoneal laparoscopic radical nephrectomy(RLRN)in the treatment of renal carcinoma and the clinical value of robotic surgery. Methods A total of 44 patients with renal carcinoma who were admitted to Department of Urology in our hospital from October 2014 to December 2015 and planned to undergo radical nephrectomy were enrolled and divided into RALRN group with 21 patients and RLRN group with 23 patients,according to the surgical procedure.The two groups were compared in terms of various clinical indices including time of operation,intraoperative blood loss,number of days of drainage tube placement,postoperative drainage volume,time to recovery of intestinal function,length of postoperative hospital stay,and postoperative complications. Results There were significant differences in intraoperative blood loss,postoperative drainage volume,and length of postoperative hospital stay between the two groups(t=2.092-2.508,P0.05). Conclusion RALRN is a safe and reliable surgical procedure for the treatment of renal carcinoma.
出处
《齐鲁医学杂志》
2017年第4期394-396,共3页
Medical Journal of Qilu