| 引用本文: | 魏澎涛,乔保平,张寒,孙建涛,韩兴涛,吕文伟,杨金辉,李小辉,杨凌博.两种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期肾癌的对比研究[J].中国临床新医学,0,():-. |
| 魏澎涛.两种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期肾癌的对比研究[J].中国临床新医学,0,():-. |
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| 两种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期肾癌的对比研究 |
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魏澎涛1, 乔保平2, 张寒1, 孙建涛1, 韩兴涛1, 吕文伟1, 杨金辉1, 李小辉1, 杨凌博1
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1.郑州大学附属洛阳中心医院泌尿外科;2.郑州大学一附院
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| 摘要: |
| 目的 对比分析经腹腔途径及腹膜后途径行高选择性肾动脉阻断肾部分切除术治疗肾癌的有效性及安全性,评价手术效果。方法 郑州大学附属洛阳中心医院在2015年1月至2018年12月期间收治的69例肾癌患者,随机分为2组,其中行经腹入路肾部分切除术36例,行经腹膜后入路肾部分切除术33例,比较两种方法患者的手术时间、术中失血量、术后引流量,术后肌酐恢复及肠道功能恢复情况等。结果 经腹腔途径组手术时间少于腹膜后途径组,经腹膜后途径组术后肠道功能恢复时间优于经腹腔途径组,两组患者在术中失血量、术后引流量、切缘阳性率,肌酐变化等方面均无明显差异(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 |
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| Comparative study of two approaches under laparoscopehighly selective renal artery partial nephrectomy for stage T1 renal carcinoma |
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魏澎涛
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Luoyang Central Hospital affiliated to Zhengzhou University
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| Abstract: |
| Objective To compare the efficacy and safety of partial nephrectomy with high selective renal artery occlusion by intraperitoneal and retroperitoneal approach in the treatment of renal carcinoma, and to evaluate the effect of the operation. Methods 69 patients with renal cancer admitted to Luoyang Central Hospital Affiliated to Zhengzhou University from January 2015 to December 2018 were randomly divided into two groups. 36 patients underwent partial nephrectomy via abdominal approach and 33 patients underwent partial nephrectomy via retroperitoneal approach. The operation time, intraoperative blood loss, postoperative drainage, creatinine recovery and intestinal function recovery were compared between the two methods. Results The operation time of the abdominal approach group was less than the retroperitoneal route group. The recovery time of the intestinal function after the retroperitoneal route group was better than that of the abdominal approach group. There was no significant difference in the amount of blood loss, the flow rate, the positive rate of the cutting edge and the creatinine change in the two groups (P> 0.05). Conclusion Two kinds of approaches were performed under laparoscopy. The operation is safe and effective. The transabdominal route has a clear anatomical mark and a short operation time. It has a rapid recovery after retroperitoneal route. |
| Key words: Laparoscope High selective renal artery occlusion Partial nephrectomy Renal carcinoma |
