[1]王晓庆,汪岩,卢绩,等.后腹腔镜与开放肾癌根治性手术的回顾性比较[J].中华腔镜泌尿外科杂志(电子版),2008,(04):5-8.
　WANG Xiao-qing,WANG Yan,LU Ji,et al.Retrospective comparison of retroperitoneoscopic versus open radical nephrectomy for renal carcinoma[J].,2008,(04):5-8.
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后腹腔镜与开放肾癌根治性手术的回顾性比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2008年04期
页码:
5-8
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Retrospective comparison of retroperitoneoscopic versus open radical nephrectomy for renal carcinoma
作者:
王晓庆; 汪岩; 卢绩; 陈岐辉; 侯宇川; 姜凤鸣; 王春喜
吉林大学第一医院泌尿外科,吉林省长春市,130021
Author(s):
WANG Xiao-qing; WANG Yan; LU Ji; CHEN Qi-hui; HOU Yu-chun; JIANG Feng-ming; WANG Chun-xi
关键词:
后腹腔镜; 开放; 肾癌; 肾切除术
摘要:
目的 回顾性比较后腹腔镜下肾癌根治术与开放性肾癌根治术的临床疗效.方法 回顾性分析68例后腹腔镜肾癌根治性手术及52例开放肾癌根治性手术患者的临床资料,比较两种术式在手术时间、术中估计出血量、术后镇痛药物使用剂量、胃肠道功能恢复时间、下床活动时间及术后住院时间等方面的差异.结果 后腹腔镜组与开放手术组患者在性别、年龄、肿瘤位置、肿瘤大小及肿瘤分级上的差别无统计学意义.所有手术均获成功,均未输血.后腹腔镜组平均手术时间(138.4±36.2)min较开放组手术时间(112.3±32.5)min长,但二者之间差异无统计学意义.开放组术中估计出血量(298.1± 19.5)ml,后腹腔镜组估计出血量(123.6±24.6)ml,二者差异有统计学意义.后腹腔镜组在镇痛药用量、胃肠道功能恢复时间、下床活动时间及术后住院日等方面均明显优于开放组(P<0.05).术后随访3个月至3年,两组均无肿瘤复发,未见操作通道部位或后腹腔内种植.结论 与传统开放手术相比,后腹腔镜肾癌根治性手术具有出血少、创伤小、患者痛苦少、恢复快、住院时间短等特点.

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更新日期/Last Update: 1900-01-01