摘要
目的对比分析经腹膜后与经腹2种腹腔镜入路下肾门旁肿瘤的肾部分切除术的术后情况。方法回顾性分析自2013年1月至2016年12月于本院行腹腔镜下肾部分切除术的38例肾门旁肿瘤患者的临床资料,根据腹腔镜入路方式不同将患者分为经腹膜后入路组(23例)和经腹入路组(15例),对两组患者手术时间、术中出血量、热缺血时间、术后出血、术后尿漏、手术切缘阳性、术后通气时间、平均住院天数等因素进行对比分析。结果两组患者的手术时间、术中出血量、平均热缺血时间、术后出血、术后尿漏、手术切缘阳性比较均无显著差异(P<0.05);但经腹膜后入路组患者术后通气时间和平均住院时间均短于经腹入路组(P<0.05)。结论肾门旁肿瘤腹腔镜肾部分切除经腹膜后和经腹腔路径均是可行的,但与经腹入路相比,经腹膜后入路患者术后肠道恢复更快,更有利于快速康复。
Objective To compare the characteristics of retroperitoneal and transperitoneal laparoscopic partial nephrectomy for hilar renal tumors. Method 38 cases of laparoscopic partial nephrectomy for hilar renal tumors in our hospital were retrospectively reviewed from January 2013 to December 2016. Depending on the laparoscopic approach cases were divided into retroperitoneal approach group（23 cases） and abdominal approach group（15 cases）. The operation time, blood loss, warm ischemia time, postoperative hemorrhage, postoperative urine leakage, positive surgical margins, time to postoperative passage of flatus and hospital stay were compared and analyzed. Result The differences were not statistical significant for the operation time, blood loss, warm ischemia time, postoperative hemorrhage, postoperative urine leakage and positive surgical margins between the two groups（P〉0.05）. But the time to postoperative passage of flatus and hospital stay had significant differences between the two groups（P〈0.05）. Conclusion Both retroperitoneal and transperitoneal laparoscopic partial nephrectomy for hilar renal tumors are safe and feasible. Compared with the transperitoneal approach, the retroperitoneal approach is more effective in favor of the recovery of intestinal tract and shorter hospital stay.
出处
《中国医学前沿杂志（电子版）》
2017年第1期107-111,共5页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
山东省自然科学基金英才基金(ZR2015HM021)
