| 摘要: |
| ［摘要］ 目的 对比分析经腹入路与经腹膜后入路行腹腔镜下高选择性肾动脉阻断肾部分切除术治疗T1期肾癌的有效性及安全性，评价手术效果。方法 选择郑州大学附属洛阳中心医院在2015-01～2018-12期间收治的69例肾癌患者，随机分为两组，其中行经腹入路肾部分切除术33例（经腹腔组），行经腹膜后入路肾部分切除术36例（经腹膜后组），比较两组患者的手术时间、术中失血量、术后肌酐恢复及肠道功能恢复情况等。结果 经腹腔组手术时间短于经腹膜后组（P<0.05）。经腹膜后组术后肠道功能恢复时间短于经腹腔组（P<0.05）。两组患者在术中失血量和切缘阳性率方面比较差异无统计学意义（P>0.05）。两组患者术后血肌酐变化与术前相比差异无统计学意义（P>0.05）。结论 两种入路行腹腔镜下保留肾单位手术均安全、有效。经腹腔途径解剖标志清晰、手术时间短。经腹膜后途径术后恢复快。 |
| 关键词: 腹腔镜 高选择性肾动脉阻断 肾部分切除术 肾癌 |
| DOI：10.3969/j.issn.1674-3806.2020.06.16 |
| 分类号:R 737 |
| 基金项目: |
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| A comparative study of laparoscopic partial nephrectomy with high selective renal artery occlusion via abdominal approach and retroperitoneal approach in treatment of stage T1 renal carcinoma |
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WEI Peng-tao, MENG Qing-ting, ZHANG Han, et al.
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Department of Urology, Luoyang Central Hospital Affiliated to Zhengzhou University, Henan 471000, China
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| Abstract: |
| ［Abstract］ Objective To compare the efficacy and safety of partial nephrectomy with high selective renal artery occlusion via abdominal approach and retroperitoneal approach in treatment of stage T1 renal carcinoma. Methods Sixty-nine patients with renal carcinoma admitted to Luoyang Central Hospital Affiliated to Zhengzhou University from January 2015 to December 2018 were randomly divided into two groups among whom 33 patients underwent partial nephrectomy via abdominal approach(the abdominal approach group) and 36 patients underwent partial nephrectomy via retroperitoneal approach(the retroperitoneal approach group). The operation time, the amount of intraoperative blood loss, the postoperative creatinine recovery and the intestinal function recovery were compared between the two groups. Results The operation time of the abdominal approach group was shorter than that of the retroperitoneal approach group(P<0.05). The recovery time of the intestinal function in the retroperitoneal approach group was shorter than that in the abdominal approach group(P<0.05) after surgery. There were no significant differences in the amount of intraoperative blood loss and the positive rate of the cutting edge between the two groups(P>0.05). Compared with those before operation, the serum creatinine changes were not significantly different after operation in both groups(P>0.05). Conclusion Both approaches are safe and effective under the laparoscopic nephron-sparing surgery. The anatomic mark is clearer and the operation time is shorter through the abdominal approach. The postoperative recovery is quicker via the retroperitoneal approach. |
| Key words: Laparoscope High selective renal artery occlusion Partial nephrectomy Renal carcinoma |
