层面解剖在后腹腔镜肾癌根治术中的应用效果

Application effect of section anatomy in retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma

目的:探讨层面解剖技术在后腹腔镜肾癌根治术中的应用效果。方法:选取后腹腔镜肾癌根治术治疗的63例肾癌患者为研究对象,根据手术方式将其分为观察组(n=32)及对照组(n=31)。对照组患者应用常规后腹腔镜下肾癌根治术治疗,观察组患者应用层面解剖技术进行后腹腔镜下肾癌根治术治疗,比较两组手术相关指标、术后疼痛及镇痛情况;比较两组患者术中并发症发生率及术后恢复情况。结果:观察组患者手术时间较对照组缩短(P<0.05),术中出血量较对照组减少(P<0.05)。观察组患者术后VAS评分及镇痛剂使用率均低于对照组(P<0.05)。观察组患者术后排气时间、下床时间、拔除引流管时间及住院天数均较对照组缩短(P<0.05)。观察组患者术中并发症总发生率均低于对照组(P<0.05)。结论:应用层面解剖技术进行后腹腔镜肾癌根治术可降低肾癌患者术中出血量、缩短手术时间,减轻患者疼痛程度、降低镇痛剂使用率,降低术中并发症发生率,术后恢复效果优于常规腹腔镜下肾癌根治术。

Objective:To investigate the application effect of section anatomy in retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma.Methods:63 patients with renal cell carcinoma who underwent retroperitoneal laparoscopic radical nephrectomy were selected as the research objects.According to the operation methods,they were divided into observation group(n=32)and control group(n=31).The control group was treated by routine retroperitoneal laparoscopic radical nephrectomy,while the observation group was treated by section anatomy with retroperitoneal laparoscopic radical nephrectomy.The operation-related indexes,postoperative pain and analgesia were compared between the two groups.Compare the incidence of intraoperative complications and postoperative recovery between the two groups.Results:The operation time and the intraoperative bleeding volume of the observation group was shorter than that of the control group(P<0.05).The VAS score and the use rate of analgesics in the observation group were lower than those in the control group(P<0.05).The time of exhaust,time of getting out of bed,time of removing drainage tube and days of hospitalization in the observation group were shorter than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Section anatomy with retroperitoneal laparoscopic radical nephrectomy can reduce the blood loss,shorten the operation time,relieve pain,reduce the use rate of analgesics,and reduce the incidence of intraoperative complications.The recovery effect of retroperitoneal laparoscopic radical nephrectomy is better than that of conventional laparoscopic radical nephrectomy.