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回顾性分析71例行肾盂成形术患者的临床资料,分为机器人辅助腹腔镜(RALP)组、传统腹腔镜(LP)组和开放(OP)组。RALP组手术时间明显短于LP组和OP组,差异有统计学意义(P<0.001);LP组和OP组手术时间差异无统计学意义。3组患者术中出血量、术后肾周引流量及拔管天数、术后住院天数、住院费用比较差异有统计学意义(P<0.05)。LP组较OP组微创,术中出血量、术后肾周引流量及拔管天数、住院天数均减少,RALP组则将这些优势进一步扩大,但费用明显高于其他组。3组患者手术并发症无明显差异,均无严重并发症发生,并且RALP及LP组无1例转为开放手术。3组患者术后通过定期行彩超、静脉肾盂造影(IVU)、泌尿系磁共振水成像(MRU)、肾图、核素动态肾脏显像(选择其中1至3项)检查,证实均未再发梗阻,肾盂积水均有不同程度减轻,分肾功能均有不同程度改善。
The clinical data of 71 patients undergoing pyeloplasty were retrospectively analyzed. They were divided into robotic assisted laparoscopic (RALP) group, conventional laparoscopic (LP) group and open (OP) group. The operation time in RALP group was significantly shorter than that in LP group and OP group (P <0.001). There was no significant difference in operative time between LP group and OP group. There were significant differences in the amount of intraoperative blood loss, perioperative renal drainage and extubation days, postoperative hospital days, hospitalization costs among the three groups (P <0.05). In LP group, minimally invasive operation, intraoperative blood loss, perioperative renal drainage, extubation days and hospitalization days were all decreased, while those in RALP group were further expanded, but the costs were significantly higher than those in other groups. There were no significant differences in the complication between the three groups. No serious complication occurred, and none of the RALP and LP groups were switched to open surgery. Three groups of patients were examined by regular color ultrasound, IVU, MRU, nephrogram and radionuclide dynamic kidney imaging (1 ~ 3 of them) Obstruction, hydronephrosis were reduced to varying degrees, sub-renal function improved in varying degrees.