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目的比较后腹腔镜与开放性肾癌根治术治疗大体积肾癌的临床疗效。方法将大体积肾癌患者45例分为后腹腔镜组和开放组,比较两组术中出血量、手术时间、并发症等指标并分析疗效。结果开放手术时间明显短于后腹腔镜组(P<0.05),但后腹腔镜组术中失血量更少(P<0.05)。两组并发症发生率无明显差异(P>0.05)。后腹腔镜组术后胃肠功能恢复更快,住院时间更短(P<0.05)。结论后腹腔镜根治性肾切除术治疗T2期肾癌较开放手术损伤更小,有利于患者恢复,值得推广。
Objective To compare the clinical effects of retroperitoneal laparoscopy and open radical nephrectomy in the treatment of large-volume renal cell carcinoma. Methods 45 patients with large volume renal cell carcinoma were divided into the laparoscopic group and the open group. The intraoperative blood loss, operation time, complications and other indicators were compared and the curative effect was analyzed. Results The open operation time was significantly shorter than that of the retroperitoneal laparoscopic group (P <0.05), but the laparoscopic group had less blood loss (P <0.05). No significant difference in the incidence of complications between the two groups (P> 0.05). Retroperitoneal laparoscopic group gastrointestinal function recovery faster, shorter hospital stay (P <0.05). Conclusions Retroperitoneal laparoscopic radical nephrectomy for the treatment of stage T2 renal cell carcinoma is less invasive than open surgery, which is beneficial to patients’ recovery and worthy of promotion.