中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
31期
16-17
,共2页
胡和平%景治安%李纪华%毛长青
鬍和平%景治安%李紀華%毛長青
호화평%경치안%리기화%모장청
后腹腔镜%肾部分切除术%肾细胞癌
後腹腔鏡%腎部分切除術%腎細胞癌
후복강경%신부분절제술%신세포암
Retroperitoneoscopy%Partial nephrectomy%Renal cell carcinoma
目的:探讨后腹腔镜肾部分切除术(RLPN)治疗局限性肾癌的疗效和安全性。方法78例局限性肾癌患者随机分为腹两组,腹腔镜组(RLPN)共45例,开放组(OPN)共33例;记录手术时间、术中出血量、术中热缺血时间、手术前后患肾肾小球滤过率、术后引流量、胃肠道功能恢复时间、术后住院时间、并发症发生率、及肿瘤学效果,并进行统计学分析。结果全部手术均获成功。两组患者在围手术期并发症的发生率、患肾术后肾小球滤过率下降幅度等方面差异无统计学意义,RLPN组与OPN组相比,手术时间及术中肾脏热缺血时间长,差异有统计学意义(P<0.05);RLPN组出血量、胃肠道功能恢复时间、术后住院天数等方面均明显优于OPN组(P<0.05)。平均随访时间18(1~36)个月,两组患者均未见肿瘤复发及转移。结论与开放术式比较,后腹腔镜下肾部分切除术是一种安全、有效的手术方式,而且具有创伤小、恢复快、住院时间短等优点。
目的:探討後腹腔鏡腎部分切除術(RLPN)治療跼限性腎癌的療效和安全性。方法78例跼限性腎癌患者隨機分為腹兩組,腹腔鏡組(RLPN)共45例,開放組(OPN)共33例;記錄手術時間、術中齣血量、術中熱缺血時間、手術前後患腎腎小毬濾過率、術後引流量、胃腸道功能恢複時間、術後住院時間、併髮癥髮生率、及腫瘤學效果,併進行統計學分析。結果全部手術均穫成功。兩組患者在圍手術期併髮癥的髮生率、患腎術後腎小毬濾過率下降幅度等方麵差異無統計學意義,RLPN組與OPN組相比,手術時間及術中腎髒熱缺血時間長,差異有統計學意義(P<0.05);RLPN組齣血量、胃腸道功能恢複時間、術後住院天數等方麵均明顯優于OPN組(P<0.05)。平均隨訪時間18(1~36)箇月,兩組患者均未見腫瘤複髮及轉移。結論與開放術式比較,後腹腔鏡下腎部分切除術是一種安全、有效的手術方式,而且具有創傷小、恢複快、住院時間短等優點。
목적:탐토후복강경신부분절제술(RLPN)치료국한성신암적료효화안전성。방법78례국한성신암환자수궤분위복량조,복강경조(RLPN)공45례,개방조(OPN)공33례;기록수술시간、술중출혈량、술중열결혈시간、수술전후환신신소구려과솔、술후인류량、위장도공능회복시간、술후주원시간、병발증발생솔、급종류학효과,병진행통계학분석。결과전부수술균획성공。량조환자재위수술기병발증적발생솔、환신술후신소구려과솔하강폭도등방면차이무통계학의의,RLPN조여OPN조상비,수술시간급술중신장열결혈시간장,차이유통계학의의(P<0.05);RLPN조출혈량、위장도공능회복시간、술후주원천수등방면균명현우우OPN조(P<0.05)。평균수방시간18(1~36)개월,량조환자균미견종류복발급전이。결론여개방술식비교,후복강경하신부분절제술시일충안전、유효적수술방식,이차구유창상소、회복쾌、주원시간단등우점。
Objective To evaluate the efficacy and safety of retroperitoneoscopic partial nephrectomy (RLPN) in the treatment of localized renal cell carcinoma. Methods 78 cases of renal tumors were randomly divided into two groups:45 cases underwent retroperitoneoscopic partial nephrectomy (RLPN);33 cases underwent open partial nephrectomies(OPN);variables compared included operation time, warm ischemic time, blood loss, amount of drainage,time of anal exsufflation, postoperative hospital stay, postoperative complication, glomerular filtration rate(GFR)and oncological results before and after partial nephrectomy. Results All procedures were successful performed. There was no significant difference in postoperative complication, amount of drainage and GFR of(P>0.05). OPN group was superior to RLPN group in the operation time, warm ischemia time,(P<0.05). But in blood loss, time of anal exsufflation, and postoperative hospital stay OPN group was inferior to RLPN group(P<0.05). During the follow up of 1 to 36 months, no tumor recurrence or metastasis developed in the two groups. Conclusions Retroperitoneoscopic partial nephrectomy can be performed in a safe and effective manner comparable to open partial nephrectomies, and has the advantages of minimal invasion and shorter hospital stay.