CAJ | 학술논문

目的评价经腹膜后腹腔镜肾癌根治术和开放式肾癌根治术的临床疗效。方法回顾性分析30例后腹腔镜肾癌根治性手术（A组）及42例开放肾癌根治性手术患者（B组）的临床资料。结果两组手术均获成功。与B组相比，A组术中出血量少(p＜0.05)。A组平均手术时间较B组手术时间长，但二者之间差异无统计学意义(p＞0.05)。A组在镇痛药用量、胃肠道功能恢复时间、下床活动时间及术后住院时间等方面均明显优于B组(p＜0.05)。结论后腹腔镜肾癌根治术与开放肾癌根治术相比，具有出血少、康复快、并发症少等优点。
목적 평개경복막후복강경신암근치술화개방식신암근치술적림상료효。방법 회고성분석30례후복강경신암근치성수술（A조）급42례개방신암근치성수술환자（B조）적림상자료。결과 량조수술균획성공。여B조상비，A조술중출혈량소(p＜0.05)。A조평균수술시간교B조수술시간장，단이자지간차이무통계학의의(p＞0.05)。A조재진통약용량、위장도공능회복시간、하상활동시간급술후주원시간등방면균명현우우B조(p＜0.05)。결론후복강경신암근치술여개방신암근치술상비，구유출혈소、강복쾌、병발증소등우점。
Objectives To evaluate the clinical curative effect betw een retroperitoneal laparoscopic and open radical nephrectomy for renal carcinoma. Methods The clinical data of 30 cases with renal neoplasm receiving laparoscopic retroperitoneal radical nephrectomy ( group A) and 42 cases with renal neoplasm receiving open radical nephrectomy(group B) were retrospectively analyzed. Results Patients were all successfully treated in both the groups. There was no significant difference in the operative time( p ＞0.05). The blood loss in group A was less than that in group B ( p ＜ 0. 05 ). Comparision of postoperative parameters showed that the use of analgesic, resumption of oral intake and postoperative hospital stay were better in the group A than in the group B. Conclusions Comparing with traditional open radical nephrectomy , laparoscopic radical nephrectomy has the advantages of less blood loss, rapid recovery, and less complications.