CAJ | 학술논문

目的：探讨后腹腔镜治疗肾肿瘤的疗效和安全性。方法：回顾性分析我院2010年4月－2013年1月收治的61例肾肿瘤患者临床资料，按治疗术式分为RLPN组（后腹腔镜肾部分切除术）和OPN组（开放性肾部分切除术）。比较两组患者手术时间、阻断时间、术中出血量、引流量、拔管时间、术后住院时间、肠道恢复时间、血清肌酐、患侧GFR以及并发症发生情况。结果：RLPN组患者除阻断时间和手术时间高于OPN组患者外，术中出血量、引流量、拔管时间、术后住院时间和肠道恢复时间均低于OPN组，差异均有统计学意义（P＜0．05）。两组患者患侧GFR术后较术前均有较大改善，差异均有统计学意义（ P＜0．05）。两组患者并发症及复发情况对比差异无统计学意义（χ2＝1．374， P＞0．05）。结论：后腹腔镜治疗肾肿瘤难度高于传统开放性术式，安全性相近，但其创伤小、恢复快，治疗效果明显较好。
목적：탐토후복강경치료신종류적료효화안전성。방법：회고성분석아원2010년4월－2013년1월수치적61례신종류환자림상자료，안치료술식분위RLPN조（후복강경신부분절제술）화OPN조（개방성신부분절제술）。비교량조환자수술시간、조단시간、술중출혈량、인류량、발관시간、술후주원시간、장도회복시간、혈청기항、환측GFR이급병발증발생정황。결과：RLPN조환자제조단시간화수술시간고우OPN조환자외，술중출혈량、인류량、발관시간、술후주원시간화장도회복시간균저우OPN조，차이균유통계학의의（P＜0．05）。량조환자환측GFR술후교술전균유교대개선，차이균유통계학의의（ P＜0．05）。량조환자병발증급복발정황대비차이무통계학의의（χ2＝1．374， P＞0．05）。결론：후복강경치료신종류난도고우전통개방성술식，안전성상근，단기창상소、회복쾌，치료효과명현교호。
Objective:To evaluate the efficacy and safety in retroperitoneal laparoscopic partial nephrectomy for renal tumor .Methods:Clinical data of 61 cases of patients from April 2010 to January 2013 in our hospital were retrospective‐ly analysed ,and were divided into RLPN group and OPN group .Operation time ,blocking time ,amount of bleeding , drainage ,extubation time ,postoperative hospitalization time ,intestinal recovery time ,serum creatinine ,the ipsilateral GFR and complications were compared .Results:Patients in group RLPN except for the blocking time and operation time is higher than that of group OPN ,the amount of intraoperative bleeding ,drainage ,extubation time ,postoperative hospitalization time and intestinal recovery time were lower than those of OPN group patients(P<0 .05) .Two groups of patients with ipsilateral GFR after operation were greatly improved(P<0 .05) .No statistically significant difference between the two groups of patients with recurrent complications level comparison(χ2 =1 .374 ,P>0 .05).Conclusion:Retroperitoneal laparoscopy for renal tumor is higher than that of the traditional open operation ,safety their natures are much the same ,but its small trauma ,quick recovery ,the treatment effect is obvious better .