摘要
目的本研究旨在评估国内肾细胞癌患者腹腔镜肾部分切除术(LPN)中肾周脂肪粘连(APF)的发生率和相关预测因子,并确定APF对围手术期治疗效果的影响。方法回顾性分析2013年6月至2016年12月由大连医科大学附属大连市友谊医院同一泌尿外科医生完成的因肾细胞癌接受LPN 47例患者的资料,按照Mayo粘连概率(MAP)评分标准计算患者的得分,术中确定患者是否发生APF,并分析APF与围手术期参数(手术时间、估计失血量、术后30 d并发症情况)的相关性,使用Logistic回归分析统计可预测APF发生的预测因子。结果8例(17%)患者中观察到APF。在多变量分析中显示较高的MAP评分是APF的独立预测因子。APF患者的估计失血量高于非APF患者,但两组的术后并发症情况无明显差异。结论MAP评分可以预测患者的APF。APF的存在与LPN更多的失血量有关,但其未增加术后并发症的发生。
Objective This study is aimed at evaluating the incidence and predictors of adherent perinephric fat(APF)in patients with renal cell carcinoma during laparoscopic partial nephrectomy(LPN),and determining the impact of APF on perioperative outcomes.Methods We retrospectively analysed the clinical data of 47 patients with renal cell carcinoma from June 2013 to December 2016.They underwent LPN completed by the center one single surgeon,and their Mayo adhesive probability(MAP)score was calculated.APF was intraoperatively determined,and the perioperative data(perioperative complications,operation time and estimated blood loss)were compared according to the presence of APF.The predictors of APF were examined using logistic regression analyses.Results APF was observed in 8(17%)patients.In multivariate analysis,higher MAP score was the independent predictor of APF.The estimated blood loss was higher in patients with APF,however,the complication rates did not differ between the 2 groups.Conclusions The MAP score can predict APF in patients.The presence of APF was associated with greater blood loss,however,it did not increase the postoperative complications in LPN.
作者
孔斌
王海波
刘建光
侯旭
杨进益
KONG Bin;WANG Haibo;LIU Jianguang;HOU Xu;YANG Jinyi(Harbin Medical University,Harbin 150081,China;不详)
出处
《现代泌尿生殖肿瘤杂志》
2020年第3期143-147,167,共6页
Journal of Contemporary Urologic and Reproductive Oncology
关键词
肾细胞癌
肾周脂肪粘连
腹腔镜肾部分切除术
肾周脂肪
Renal cell carcinoma
Adherent perinephric fat
Laparoscopic partial nephrectomy
Perinephric fat
