后腹腔镜联合下腹小切口治疗肾盂癌的临床效果分析

Clinical effect analysis of retroperitoneoscope combined with lower abdominal incision in the treatment of renal pelvic cancer

目的研究后腹腔镜联合下腹小切口治疗肾盂癌患者的临床效果。方法选取2013年1月~2016年1月在我科住院治疗的肾盂癌患者42例,随机分为A组和B组,每组21例。A组患者采用后腹腔镜联合下腹小切口治疗,B组采用开放性肾盂癌根治术,比较两组患者手术结果及手术并发症发生情况,随访1年,观察两组肿瘤复发转移情况。结果两组患者手术均取得成功,但A组患者术中出血量、术后肠功能恢复时间、住院时间较B组低,差异均有统计学意义(P<0.01)。两组患者术后并发症发生率、肿瘤复发转移率差异无统计学意义(P>0.05)。结论后腹腔镜联合下腹小切口具有创伤小、并发症少、出血量少等优点。

Objective To study the clinical effect of retroperitoneoscope combined with lower abdominal incision in the treatment of patients with renal pelvic cancer.Methods From January 2013 to January 2016,42 patients with renal pelvic cancer in our department were randomly divided into group A and group B,21 cases in each group.In group A, retroperitoneoscope combined with lower abdominal incision was used,while in group B,open radical resection for the renal pelvic carcinoma was performed.The surgical results and complications were compared between the two groups. After 1 year follow up visits,the recurrence and metastasis of tumors were observed in the two groups.Results The oper- ations of the two groups were all successful.However,the intraoperative amount of bleeding,time of gastrointestinal re- covery,and hospital stay were lower/shorter in group A compared with group B,with statistical differences （P〈0.01）.There were no significant differences in the incidence of postoperative complications or tumor recurrence and metastasis rate between the two groups （P〉0.05）.Conclusion Combination of retroperitoneoscope combined with lower abdominal incision has the advantages of small tranma,few complications,and little amount of bleeding.