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目的:对比研究后腹腔镜下肾癌根治术与开放手术行肾癌根治术的临床疗效。方法:回顾性分析2009年1月~2014年4月收治的126例肾癌患者资料,分别采用两种手术方法,其中开放手术肾癌根治术52例,后腹腔镜下肾癌根治术74例,比较两组患者的相关临床资料以及术中、术后疗效指标,并进行统计学分析。结果:两组患者在年龄、性别、肿瘤大小、肿瘤位置、肿瘤分期、病理诊断方面差异无统计学意义(P>0.05),而两组患者的术中、术后疗效指标,包括手术时间、术中出血量、术后下床活动时间、术后拔除引流管时间、术后住院时间、并发症发生率等指标,差异具有统计学意义(P<0.05)。结论:与开放性肾癌根治术相比较,后腹腔镜肾癌根治术创伤小、出血量少、术后恢复快、并发症少等诸多优点,是一种安全、有效的手术方法,可作为肾癌的治疗首选。
Objective: To compare the clinical effects of retroperitoneal laparoscopic radical nephrectomy with open surgery for radical nephrectomy. Methods: The data of 126 patients with renal cell carcinoma admitted from January 2009 to April 2014 were retrospectively analyzed. Two kinds of surgical methods were used respectively, including 52 cases of radical nephrectomy in open surgery and 74 cases of laparoscopic radical nephrectomy The clinical data of two groups were compared, and the indexes of intraoperative and postoperative efficacy were compared and analyzed statistically. Results: There was no significant difference in age, gender, tumor size, tumor location, tumor stage and pathological diagnosis between the two groups (P> 0.05). The intraoperative and postoperative efficacy indexes of the two groups included operation time, The amount of bleeding during operation, the time of getting out of bed after operation, the time of removing drainage tube after operation, the length of postoperative hospital stay and the incidence of complications were statistically significant (P <0.05). Conclusions: Compared with open radical nephrectomy, laparoscopic radical nephrectomy is a safe and effective surgical method for the treatment of small renal cell carcinoma with less trauma, less bleeding, quick recovery after operation and less complications. The treatment of kidney cancer preferred.