评价后腹腔镜肾癌根治术治疗局限性肾癌的临床疗效

Evaluation of the Clinical Efficacy of Retroperitoneal Laparoscopic Radical Nephrectomy for Localized Renal Cell Carcinoma

目的评价后腹腔镜肾癌根治术治疗局限性肾癌的临床疗效。方法整群选取2010年7月—2014年6月间该院行肾癌根治术治疗的局限性肾癌患者62例。根据治疗方法将62例患者分为观察组(30例)与对照组(32例)。对照组患者行开放性肾癌根治术治疗,观察组患者行后腹腔镜肾癌根治术治疗,比较两组患者的临床疗效。结果观察组患者具有手术时间短、术中出血量少、术后恢复快等指标优于对照组(P<0.05)。观察组患者并发症发生率为19.2%,对照组为25%,比较差异有统计学意义(P<0.05)。结论后腹腔镜肾癌根治术治疗局限性肾癌临床效果显著,患者创伤小、术后恢复快。

Objective To evaluate the clinical efficacy of retroperitoneal laparoscopic radical nephrectomy for localized renal cell carcinoma. Methods From July 2010 to June 2014, 62 cases underwent radical nephrectomy for localized renal cell carcinoma in our hospital were selected and divided into the observation group(30 cases) and the control group(32 cases) in accordance with the treatment method. Patients in the control group were treated by the open radical nephrectomy, while those in the observation group were treated by the retroperitoneal laparoscopic radical nephrectomy. And the clinical efficacy of the two groups was compared. Results Compared with the control group, the observation group had shorter duration of operation, less intraoperative blood loss and quicker postoperative recovery(P <0.05). The incidence of complications was19.2% in the observation group, and 25% in the control group, the difference between the two groups was statistically significant(P<0.05). Conclusion Retroperitoneal laparoscopic radical nephrectomy for localized renal cell carcinoma has remarkable clinical effect, small trauma and quick postoperative recovery.