经腹机器人辅助与传统的腹腔镜肾部分切除术治疗早期肾癌的疗效对比

Comparison of the efficacy of transabdominal robot-assisted and traditional laparoscopic partial nephrectomy in the treatment of early renal carcinoma

目的:对比采用经腹机器人辅助腹腔镜肾部分切除术(LPN)与传统的LPN治疗早期肾癌的临床疗效。方法:将68例早期肾癌患者按照入院顺序的先后均分为传统组和机器人组。对传统组34例患者采用传统的LPN进行治疗,对机器人组34例患者采用经腹机器人辅助LPN进行治疗。治疗结束后,对比两组患者手术相关的指标、住院的时间、肾功能的改善情况、术中及术后并发症的发生情况。结果:机器人组患者手术持续的时间、术中肾脏发生热缺血的时间、住院的时间均短于传统组患者,其术中的出血量少于传统组患者,其术后血肌酐的水平低于传统组患者,其肾小球的滤过率高于传统组患者,P<0.05。两组患者术后卧床的时间、术中及术后并发症的总发生率相比,P>0.05。结论:与采用传统的LPN治疗早期肾癌的效果相比,采用经腹机器人辅助LPN对该病患者进行治疗的创伤性较小,可保障其手术的安全性,缩短其手术持续的时间、术中肾脏发生热缺血的时间及住院的时间,改善其术后的肾功能。

Objective:To compare the clinical efficacy of transabdominal robot-assisted laparoscopic partial nephrectomy(LPN)and traditional LPN in the treatment of early renal carcinoma.Methods:68 patients with early renal cancer were divided into traditional group and robot group according to the order of admission.34 patients in the traditional group were treated with traditional LPN,and 34 patients in the robot group were treated with transabdominal robot-assisted LPN.After treatment,operative indicators,length of hospitalization,improvement of renal function,and occurrence of intraoperative and postoperative complications were compared between the two groups.Results:The duration of surgery,the time of renal thermal ischemia and hospitalization in the robot group were shorter than those in the traditional group,the amount of intraoperative blood loss was less than that in the traditional group,the level of postoperative blood creatinine was lower than that in the traditional group,and the glomerular filtration rate was higher than that in the traditional group,P<0.05.The time of postoperative bed rest and the total incidence of intraoperative and postoperative complications were compared between the two groups,P>0.05.Conclusions:Compared with the effect of traditional LPN in the treatment of early renal cancer,transabdominal robot-assisted LPN treatment for patients with this disease is less invasive,can ensure the safety of surgery,shorten the duration of surgery,the time of intraoperative renal heat ischemia and hospitalization time,and improve the postoperative renal function.