摘要
目的分析腹腔镜肾癌根治术与开放性切除术治疗T3期非转移肾癌的临床疗效。方法选择2012年3月至2017年3月我院收治的146例T3期肾癌患者为研究对象,根据手术方法分为开放组和腹腔镜组,各73例。开放组采用开放性切除术,腹腔镜组采用腹腔镜肾癌根治术。比较两组术中情况、术后并发症及术后恢复状况。结果两组手术时间比较,差异无统计学意义(P>0.05);而腹腔镜组术中出血量、切口总长度、术后住院时间及术后并发症均显著优于开放组(P<0.05)。两组治疗后血清肌酐水平明显上升,腹腔镜组在术后72 h、1周、1个月,血清肌酐水平均显著低于开放组(P<0.05),但术后3个月、6个月两组血清肌酐水平比较,差异无统计学意义(P>0.05)。随访6~48个月,随访期间两组均无肿瘤复发。结论腹腔镜肾癌根治术创伤小,出血少,患者术后恢复快,预后效果良好。
Objective To analyze the clinical effect of laparoscopic radical nephrectomy and open resection in thetreatment of stage T3 non -metastatic renal carcinoma. Methods One hundred and forty -six cases of T3 stage renalcarcinoma patients from March 2012 to March 2017 in our hospital were selected as the research objects and divived intoopen group and laparoscopic group, with 73 cases in each group. The laparoscopic group was given laparoscopic radicalnephrectomy, the open group was given with open resection. The intraoperative conditions, postoperative complications andpostoperative recovery of the two groups were compared. Results The operation time of the two groups had no significantdifference （P 〉0.05）, and the amount of intraoperative bleeding, total length of operative incision, postoperativehospitalization time and postoperative complications of the laparoscopic group were significantly better than those of theopen group （P〈0.05）. The level of serum creatinine in the two groups significantly increased after treatment, and those at72 h, 1 week and 1 month after surgery in the laparoscopic group were significantly lower than the open group（P〈0.05）.But the serum creatinine levels of the two groups at 3, 6 months after the surgery had no significant difference（P〉0.05）.The follow-up of 6-48 months, the two groups had no recurrence of tumor. Conclusion Laparoscopic radical nephrectomyhas small trauma, less bleeding, rapid postoperative recovery, and the prognosis is good.
作者
张晨辉
朱国栋
李黔
ZHANG Chen-hui;ZHU Guo-dong;LI Qian(Urinary Surgery Department,the People＇s Hospital of Tongchuan,Tongchuan 727000;Urinary Surgery Department,the First Affiliated Hospital of Xi＇an Jiaotong University,Xi＇an 710061,China)
出处
《临床医学研究与实践》
2018年第18期49-51,共3页
Clinical Research and Practice
关键词
腹腔镜
肾癌根治术
T3期
肾癌
laparoscopic
radical nephrectomy
T3 stage
renal carcinoma
