中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2010年
7期
449-451
,共3页
严俊%余辉%应敏刚%周东%陈夏%陈路川%叶文飞%臧卫东%杨春康%陈晓晶%王玲萍
嚴俊%餘輝%應敏剛%週東%陳夏%陳路川%葉文飛%臧衛東%楊春康%陳曉晶%王玲萍
엄준%여휘%응민강%주동%진하%진로천%협문비%장위동%양춘강%진효정%왕령평
肾肿瘤%腹腔镜%根治性肾切除术
腎腫瘤%腹腔鏡%根治性腎切除術
신종류%복강경%근치성신절제술
Kidney neoplasms%Radical nephrectomy%Laparoscopes
目的 比较腹腔镜下与开放性根治性肾切除术治疗肾癌的疗效.方法 2006年1月至2009年7月T1～T2肾癌患者62例,随机分为2组,每组31例.分别行腹腔镜下及开放性根治性肾切除术,比较2组住院时间、手术时间、切口长度、术中出血量、并发症、术后局部复发率、远处转移率及死亡率.取第一类误差α=0.05,第二类误差β=0.10,2种术式术后住院时间均值相差2 d,差异有统计学意义.结果 2组患者术后住院时间分别为(5.4±1.3)及(8.1±2.2)d,中位切口长度分别为8及15 cm,中位术中出血量分别为100及200 ml,差异均有统计学意义(P<0.05).2组手术时间、术后并发症发生率、淋巴结清扫数、局部复发率、远处转移率、死亡率比较差异均无统计学意义(P>0.05).结论 腹腔镜下根治性肾切除术较开放性根治性肾切除术手术创伤小、住院时间短.
目的 比較腹腔鏡下與開放性根治性腎切除術治療腎癌的療效.方法 2006年1月至2009年7月T1～T2腎癌患者62例,隨機分為2組,每組31例.分彆行腹腔鏡下及開放性根治性腎切除術,比較2組住院時間、手術時間、切口長度、術中齣血量、併髮癥、術後跼部複髮率、遠處轉移率及死亡率.取第一類誤差α=0.05,第二類誤差β=0.10,2種術式術後住院時間均值相差2 d,差異有統計學意義.結果 2組患者術後住院時間分彆為(5.4±1.3)及(8.1±2.2)d,中位切口長度分彆為8及15 cm,中位術中齣血量分彆為100及200 ml,差異均有統計學意義(P<0.05).2組手術時間、術後併髮癥髮生率、淋巴結清掃數、跼部複髮率、遠處轉移率、死亡率比較差異均無統計學意義(P>0.05).結論 腹腔鏡下根治性腎切除術較開放性根治性腎切除術手術創傷小、住院時間短.
목적 비교복강경하여개방성근치성신절제술치료신암적료효.방법 2006년1월지2009년7월T1～T2신암환자62례,수궤분위2조,매조31례.분별행복강경하급개방성근치성신절제술,비교2조주원시간、수술시간、절구장도、술중출혈량、병발증、술후국부복발솔、원처전이솔급사망솔.취제일류오차α=0.05,제이류오차β=0.10,2충술식술후주원시간균치상차2 d,차이유통계학의의.결과 2조환자술후주원시간분별위(5.4±1.3)급(8.1±2.2)d,중위절구장도분별위8급15 cm,중위술중출혈량분별위100급200 ml,차이균유통계학의의(P<0.05).2조수술시간、술후병발증발생솔、림파결청소수、국부복발솔、원처전이솔、사망솔비교차이균무통계학의의(P>0.05).결론 복강경하근치성신절제술교개방성근치성신절제술수술창상소、주원시간단.
Objective To compare the therapeutic outcomes between laparoscopic radical Rephrectomy and open radical nephrectomy for renal cancer. Methods A prospective randomized controlled trial was performed in Fujian Provincial Tumor Hospital from January 2006 to July 2009.Sixty-two cases were randomly divided into 2 groups:laparoscopic radical nephrectomy and open radical nephrectomy.Primary outcome(post-operative hospital stay)and second outcome(estimated blood loss,operative time,incision length,post-operative complications,recurrence,metastasis and survival)were compared between 2 groups. Results Post-operative hospital stay was(5.4±1.3)d in laparoscopic group and(8.1±2.2)d in open group(P<0.05).Median estimated blood loss was 100 ml in laparoseopic group and 200 ml in open group(P<0.05).There were no significant difference between teh 2 groups in operative time,post-operative complications,recurrence,metastasis and survival rates(P>0.05). Conclusion Laparoscopic nephrectomy could reduce hospital stay,which provides a minimally invasive approach for renal cancer.
