[1]李智斌,张更,阮东丽,等.单中心机器人辅助腹腔镜与腹腔镜肾部分切除术的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(02):81-85.[doi:10.3877/cma.j.issn.1674-3253.2017.02.003 ]
　Li Zhibin,Zhang Geng,Ruan Dongli,et al.Comparative study of single center between robotic assisted laparoscopic partial nephrectomy and laparoscopic partial nephrectomy[J].,2017,11(02):81-85.[doi:10.3877/cma.j.issn.1674-3253.2017.02.003 ]
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单中心机器人辅助腹腔镜与腹腔镜肾部分切除术的比较()
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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:
11
期数:
2017年02期
页码:
81-85
栏目:
临床研究
出版日期:
2017-04-30

文章信息/Info

Title:
Comparative study of single center between robotic assisted laparoscopic partial nephrectomy and laparoscopic partial nephrectomy
作者:
李智斌; 张更; 阮东丽; 刘克普; 马帅军; 孟平; 张龙龙; 杨晓剑; 秦卫军; 袁建林
710032 西安，第四军医大学西京医院泌尿外科
Author(s):
Li Zhibin;  Zhang Geng;  Ruan Dongli;  Liu Kepu;  Ma Shuaijun;  Meng Ping;  Zhang Longlong;  Yang Xiaojian;  Qin Weijun;  Yuan Jianlin.
Department of Urology, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China
关键词:
肾肿瘤; 机器人; 腹腔镜; 肾部分切除术
DOI:
10.3877/cma.j.issn.1674-3253.2017.02.003
摘要:
目的通过对机器人辅助腹腔镜肾部分切除术（RAPN）与腹腔镜肾部分切除术（LPN）治疗局限性肾癌的对比研究，探讨 RAPN的优势和应用价值。方法回顾性分析西京医院泌尿外科2013年 3月至 2015年 4月顺利完成 RAPN（n=61）和 LPN（n=32）患者的临床资料，对各组年龄、体质量指数（BMI）、R.E.N.A.L.评分、手术时间、温缺血时间、出血量、住院时间、术后并发症以及术后随访情况等进行统计学分析。结果总体两组间年龄、BMI、肿瘤直径、温缺血时间差异均无统计学意义（P>0.05），R.E.N.A.L.评分 RAPN组大于 LPN组（P<0.05），手术时间、出血量、住院时间 RAPN组明显优于 LPN组（P<0.05）；肿瘤直径 ≤4cm组， RAPN组与 LPN组年龄、BMI、肿瘤直径、温缺血时间差异均无统计学意义（P>0.05），R.E.N.A.L.评分 RAPN组大于 LPN组（P<0.05），手术时间、出血量、住院时间 RAPN组明显优于 LPN组（P<0.05）； RAPN组内根据肿瘤直径分为 ≤4cm组和 >4cm组，两组间 BMI、出血量、住院时间差异均无统计学意义（P>0.05），两组间年龄、R.E.N.A.L.评分、手术时间、温缺血时间有显著性差异（P<0.05）。RAPN组术后并发肠梗阻 2例，急性脑梗死 1例，LPN组急性脑梗死 1例（P>0.05）； RAPN组术后 2例复发、转移，其中 1例死亡，余均无死亡及疾病进展发生。结论 RAPN是治疗局限性肾癌有效、可行的术式，较 LPN有一定优势。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：袁建林，Email：jianliny@fmmu.edu.cn
更新日期/Last Update: 2017-04-20