论文部分内容阅读
目的探讨后腹腔镜下与开放性肾癌根治术后患者生存率的差异性。方法回顾性分析2008年1月至2012年12月收治的78例局限性肾癌患者的临床资料,其中腹腔镜下肾癌根治手术40例,开放性肾癌根治手术38例。对78例患者进行术后随访,随访时间6~66个月。采用寿命表法计算累积生存率,组间生存时间分布的整体比较采用Wilcoxon检验。所有统计描述和分析均使用SPSS 19.0软件包,检验均以P<0.05为差异具有统计学意义。结果后腹腔镜组患者术后各年限的生存率都要高于开放性手术组,后腹腔镜组的1、3、5年生存率分别为100%、97%、82%,开放性手术组则分别为94%、82%、74%。两组间整体比较生存时间分布显示差异具有统计学意义(P<0.05)。结论后腹腔镜下肾癌根治术治疗T1~T2N0M0期局限性肾癌的生存率高于传统的开放性肾癌根治术。
Objective To investigate the difference of survival rate between retroperitoneal laparoscopic and open radical nephrectomy. Methods The clinical data of 78 patients with localized renal cell carcinoma admitted to our hospital from January 2008 to December 2012 were analyzed retrospectively. Among them, 40 patients underwent laparoscopic radical nephrectomy and 38 patients underwent open radical nephrectomy. 78 patients were followed up for 6 to 66 months. The cumulative survival rate was calculated by the life table method, and the overall comparison of the survival time distribution between groups was performed by Wilcoxon test. All statistical description and analysis using SPSS 19.0 package, the test was P <0.05 was considered statistically significant. Results The survival rate of post-laparoscopic group was higher than that of open surgery group, and the 1,3-year and 5-year survival rates of post-laparoscopic group were 100%, 97% and 82% respectively. In open surgery group Then 94%, 82%, 74% respectively. The overall survival time distribution between the two groups showed a statistically significant difference (P <0.05). Conclusions The survival rate of retroperitoneal laparoscopic radical nephrectomy in the treatment of T1 ~ T2N0M0 limited renal cell carcinoma is higher than that of traditional open renal cell carcinoma.