腹腔镜下保留肾单位手术及肾癌根治术治疗T1期肾癌的疗效比较.docVIP

精品论文 参考文献 腹腔镜下保留肾单位手术及肾癌根治术治疗T1期肾癌的疗效比较 陈庆 张文彬 伍伯聪 黄志扬 蔡经爽 ( 福建医科大学附属泉州第一医院泌尿外科 福建泉州 362000) 【摘要】目的 探讨T1期肾癌腹腔镜下行两种不同术式的临床效果。方法 回顾分析57例T1期肾癌患者，其中行腹腔镜保留肾单位手术（laparoscopic partial nephrectomy，LPN）36例，腹腔镜肾癌根治性术（laparoscopic radical nephrectomy,）21例，对两组患者在出血量、手术时间、术后平均住院天数以及术后并发症等方面进行统计学比较分析。结果 腹腔镜保留肾单位手术组在术后平均住院天数及术后漏尿发生率等方面高于腹腔镜肾癌根治术组，两者差异具有统计学意义（Plt;0.05）。而在手术时间、术中出血量、术后肾功能衰竭、围手术期死亡、术后泌尿系感染发生率及术中胸膜、肝、脾等脏器损伤的发生率等均低于腹腔镜肾癌根治术组，差异有统计学意义（Plt;0.05）。 结论 腹腔镜下保留肾单位手术与肾癌根治术在治疗T1期肾癌中各有优缺点，都是目前较好的治疗T1期肾癌的手术方式，值得临床上推广应用。 【关键词】腹腔镜 保留肾单位手术 肾癌根治术 T1期肾癌 【中图分类号】R737.11 【文献标识码】A 【文章编号】2095-1752（2014）25-0019-02 The clinical comparison of curing clinical T1 renal carcinoma by laparoscopic partial nephrectomy and radical nephrectomy Chen Qing, Zhang Wen-bin, Wu BO-cong, Huang Zhi-yang, Cai Jing-shuang(Department of Urology，the Quanzhou first Hospital Affiliated Fujian Medical University，Quanzhou 362000，China) 【Abstract】Objective To approach clinical curative effect of curing clinical T1 renal carcinoma by the laparoscopic partial nephrectomy and radical nephrectomy. Methods The data of 57 patients with clinical T1 renal carcinoma were reviewed,36 cases with laparoscopic partial nephrectomy and 21cases with laparoscopic radical nephrectomy during a 8-year frame. Parameters associated with the surgical procedures (amount of bleeding during operation, operation time), the hospital stay postoperative and the rate of early complications (less than 3 months after surgery) were compared between the two groups. Results There were significant difference in hospital stay postoperative, volume of blood loss during operation, urinary fistula, renal failure after surgery, mortality after operation and postoperative urinary infection between the two groups(Plt;0.05). Conclusions the laparoscopic partial nephrectomy and radical nephrectomy are both good forms of clinical T1 renal carcinoma. We failed to find enough evidence that peritoneal lapa