摘要
目的 对比分析两种手术方式治疗T3期肾癌的临床效果。方法 选择2015年1月-2018年3月本院收治的80例T3期肾癌患者作为研究对象,随机分为观察组(腹腔镜根治术)和对照组(开放根治术)各40例。比较两组患者的手术切口大小、手术时间、术中出血量、术后恢复情况、术后并发症、手术切除肿瘤效果等。结果 观察组比对照组具有更小的手术切口、更短的手术时间和较少的术中出血量,术后肛门排气时间和术后住院天数少于对照组(P<0.05)。而两组的手术并发症和1年生存率、肿瘤复发率等方面无统计学差异(P>0.05)。结论 两种手术方法治疗T3期肾癌均安全有效,但腹腔镜根治术创伤更小,术后恢复更快。
Objective To explore the clinical efficacy of two different approaches surgery for management of T3 stage renal cell carcinoma.Methods 80 patients with T3 stage renal cell carcinoma were divided into observation group(laparoscopic radical surgery)and control group(open radical surgery),40 cases in each group.The size of the incision,the operation time,the amount of intraoperative blood loss,the postoperative recovery,postoperative complications and the effect of surgical resection were compared between the two groups.Results Compared with the control group,the observation group had smaller incision size,shorter operation time and less intraoperative blood loss.Postoperative rehabilitation such as the first anal exhaust time and postoperative hospital stay were less than the control group(P<0.05).There were no significant differences in surgical resection such as 1-year survival rate,tumor recurrence rate(P>0.05).Conclusions The two approaches surgery with the similar effect of T3 stage renal cell carcinoma resection,however,laparoscopic radical surgery with less postoperative trauma and faster recovery.
作者
彭家银
黄长青
高绍青
黎绍冠
PENG Jia-yin(Department of urology,center people hospital of Zhanjiang,Zhanjian,Guangdong,524003,China)
出处
《齐齐哈尔医学院学报》
2019年第24期3073-3075,共3页
Journal of Qiqihar Medical University
关键词
肾癌
腹腔镜
肾癌根治术
Renal cell carcinoma
Laparoscopy
Radical nephrectomy
