CAJ | 학술논문

目的：比较腹腔镜下肾癌根治术与开放肾癌根治术治疗 T1期肾癌的疗效及安全性。方法回顾性分析盐城市第一人民医院泌尿外科2005年11月至2013年10月腹腔镜肾癌根治术患者54例(腹腔镜组)和开放肾癌根治术患者42例(开放手术组)的临床资料。比较两组手术时间、术中出血、术后下床活动时间、术后拔除引流管时间、术后住院天数、治疗费用及并发症发生率的差异。结果腹腔镜组在术中出血量、术后下床活动时间、术后拔除引流管时间、术后住院天数、术后并发症发生率等方面均优于开放手术组患者，差异均有统计学意义(均P <0.05)；而在手术时间方面差异无统计学意义。但腹腔镜组的手术费和总住院费要高于开放组，差异有统计学意义(P<0.05)。结论腹腔镜肾癌根治术尽管费用较高，但具有安全有效、恢复快等优点，较开放肾癌根治术具有明显优势。
목적：비교복강경하신암근치술여개방신암근치술치료 T1기신암적료효급안전성。방법회고성분석염성시제일인민의원비뇨외과2005년11월지2013년10월복강경신암근치술환자54례(복강경조)화개방신암근치술환자42례(개방수술조)적림상자료。비교량조수술시간、술중출혈、술후하상활동시간、술후발제인류관시간、술후주원천수、치료비용급병발증발생솔적차이。결과복강경조재술중출혈량、술후하상활동시간、술후발제인류관시간、술후주원천수、술후병발증발생솔등방면균우우개방수술조환자，차이균유통계학의의(균P <0.05)；이재수술시간방면차이무통계학의의。단복강경조적수술비화총주원비요고우개방조，차이유통계학의의(P<0.05)。결론복강경신암근치술진관비용교고，단구유안전유효、회복쾌등우점，교개방신암근치술구유명현우세。
Objective: To evaluate the clinical effect and safety of laparoscopic radical nephrectomy and open radical nephrectomy for T1 renal cancer. Methods: From November 2005 to October 2013, 54 patients were underwent retroperitoneal laparoscopic and 42 open radical nephrectomy for T1 renal cancer (TNM 2002) in our hospital. The indexes including operative time, blood loss, postoperative ambulation time, postoperative drainage tubes removed time, postoperative hospital days, costs and complications were compared between two groups. Results:Blood loss, postoperative ambulation time, postoperative drainage tubes removed time, postoperative hospital days and complication rate in laparoscopic group were better than those in open surgery group, but the costs of operation and hospitalization were both higher than that in open surgery group (P<0.05), and there were no significant difference in operation time between two groups. Conclusion:Laparoscopic radical nephrectomy for patients with T1 renal cancer is a safe, reliable procedure.