经腹腔入路与经腹膜后入路行腹腔镜肾部分切除术治疗肾肿瘤的效果比较

Comparison on the Effects of Transabdominal and Retroperitoneal Laparoscopic Partial Nephrectomy in the Treatment of Renal Tumors

目的比较经腹腔与经腹膜后入路行腹腔镜肾部分切除术治疗肾肿瘤的临床效果。方法选取2020年1月至2022年12月于我院行腹腔镜肾部分切除治疗的86例肾肿瘤患者,以手术入路方式不同分成腹膜后入路组(n=43)和腹腔入路组(n=43)。比较两组患者的围手术期指标、并发症发生率及生活质量。结果腹膜后入路组手术时间、肠道恢复时间、住院时间均短于腹腔入路组,术中出血量低于腹腔入路组(P<0.05)。腹膜后入路组术后并发症发生率为6.98%,低于腹腔入路组的23.26%(P<0.05)。术后1个月,两组的WHOQOL-BREF评分均升高,且腹膜后入路组WHOQOL-BREF评分高于腹腔入路组(P<0.05)。结论与经腹腔入路相比,经腹膜后入路行腹腔镜肾部分切除术治疗肾肿瘤的手术创伤更小,可加速肾肿瘤患者术后恢复,明显降低并发症发生率,提升生活质量。

Objective To compare the clinical effects of transabdominal and retroperitoneal laparoscopic partial nephrectomy in the treatment of renal tumors.Methods 86 patients with renal tumors undergoing laparoscopic partial nephrectomy in our hospital from January 2020 to December 2022 were selected and divided into retroperitoneal group(n=43)and transabdominal group(n=43)according to different operation approaches.The perioperative indicators,incidence of complications,and quality of life were compared between the two groups.Results The operation time,intestinal recovery time and hospitalization time of the retroperitoneal group were shorter than those of the transabdominal group,and the intraoperative blood loss was lower than that of the transabdominal group(P<0.05).The incidence of postoperative complications in the retroperitoneal group was 6.98%,lower than 23.26%in the transabdominal group(P<0.05).1 month after operation,the WHOQOL-BREF scores of the two groups increased,and the WHOQOL-BREF score of the retroperitoneal group was higher than that of the transabdominal group(P<0.05).Conclusions Compared with transabdominal approach,retroperitoneal laparoscopic partial nephrectomy has less operation trauma,and can accelerate the postoperative recovery of patients with renal tumors,significantly reduce the incidence of complications and improve the quality of life.