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肾癌(T1b期)行后腹腔镜保肾手术的可行性分析

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摘要 目的探讨腹腔镜保留肾单位手术治疗T1b肾细胞癌的可行性。方法回顾性分析行保留肾单位手术的103例T1b肾癌患者的临床资料,其中45例行开放手术(OPN组),58例行后腹腔镜手术(RLPN组),比较两组的临床资料、术中指标、手术并发症及术后肾功能变化。结果 99例患者成功行肾部分切除(NSS),4例切缘阳性患者改行肾根治术。OPN组在手术时间、术中出血量、住院时间均多于RLPN组(P<0.05或P<0.01),但两组患者冷缺血时间及术中、术后并发症发生率均无明显差别(P>0.05)。两组手术前后血肌酐值无明显变化(P>0.05);术后3个月两组eGFR均较术前明显下降(P<0.05),OPN组eGFR下降更为显著(P<0.05)。结论 OPN和RLPN都是治疗T1b肾癌安全有效的方法,RLPN在手术时间、术中失血量及住院时间上更有优势。
出处 《白求恩医学杂志》 2018年第6期584-586,共3页 Journal of Bethune Medical Science
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