后腹腔镜肾部分切除术治疗肾脏肿瘤的可行性及安全性观察

目的探讨后腹腔镜肾部分切除术治疗肾脏肿瘤的可行性及安全性。方法选取医院2016年1月至2017年6月收治的肾脏肿瘤患者72例,分为观察组及对照组,各36例。观察组选择后腹腔镜肾部分切除术(LPN)治疗,对照组选择开放肾部分切除术(OPN)治疗。结果与对照组比较,观察组患者的肾热缺血时间和手术时间均明显较长,肠道恢复时间、住院时间均明显较短、术中出血量明显较少(P<0.05);对照组的并发症发生率为25.00%,显著高于观察组的19.44%(P>0.05);治疗后,两组肾小球滤过率均升高,且观察组改变更显著(P<0.05)。结论采用后腹腔镜肾部分切除术(LPN)治疗肾脏肿瘤,可显著改善其生活质量,且创伤小,恢复快。

Objective To investigate the feasibility and safety of retroperitoneal laparoscopic partial nephrectomy for renal tumors.Methods Totally 72 patients with renal tumor admitted to our hospital from January 2016 to June 2017 were selected and divided into the observation group and the control group,36 cases in each group.The observation group was treated with retroperitoneal laparoscopic partial nephrectomy(LPN)and the control group was treated with open partial nephrectomy(OPN).Results Compared with those in the control group,the warm renal ischemia time and the operation time were longer,the intestinal recovery time and hospitalization stay were shorter,the intraoperative blood loss was significantly less in the observation group(P<0.05),the incidence of complications in the control group was 25.00%,which was significantly higher than 19.44%in the observation group(P>0.05).After treatment,the glomerular filtration rate of the two groups increased,and the change of the observation group was more significant(P<0.05).Conclusion LPN in the treatment of renal tumors can significantly improve the quality of life,with small trauma and rapid recovery.