CAJ | 학술논문

目的：评价腹腔镜保留肾单位手术（LNSS）与开放保留肾单位手术（ONSS）治疗T1a期肾细胞癌的优劣。方法：回顾性分析60例分别行LNSS患者（n=29）与行ONSS患者（n=31）的临床资料，比较两组患者的术中出血量、手术时间、术后疼痛评分、术后引流量、术后引流管留置时间等指标。结果：LNSS组术中出血量、手术时间、术后疼痛评分、术后引流量、术后引流管留置时间明显小于ONSS组，比较差异有统计学意义（P<0.05）。结论：LNSS与ONSS组相比，LNSS是一种创伤小，术后患者疼痛评分低，手术时间短、安全性高的术式，是治疗T1a期肾细胞癌的更好的方法。
목적：평개복강경보류신단위수술（LNSS）여개방보류신단위수술（ONSS）치료T1a기신세포암적우렬。방법：회고성분석60례분별행LNSS환자（n=29）여행ONSS환자（n=31）적림상자료，비교량조환자적술중출혈량、수술시간、술후동통평분、술후인류량、술후인류관류치시간등지표。결과：LNSS조술중출혈량、수술시간、술후동통평분、술후인류량、술후인류관류치시간명현소우ONSS조，비교차이유통계학의의（P<0.05）。결론：LNSS여ONSS조상비，LNSS시일충창상소，술후환자동통평분저，수술시간단、안전성고적술식，시치료T1a기신세포암적경호적방법。
Objective:To evaluate the treatment of T1a renal cell carcinoma between laparoscopic nephron-sparing surgery(LNSS)and open nephron-sparing surgery(ONSS). Method:A retrospective analysis of 60 clinical cases including LNSS patients(n=29)and ONSS patients(n=31)was made,comparison were made in clinical indexes between peri-operative bleeding,operative time,postoperative pain scores,postoperative drainage,indwelling time of drainage tube and so on. Result:The LNSS group was significantly less than the ONSS group in peri-operative bleeding,operative time,postoperative pain scores,postoperative drainage,indwelling time of drainage tube(P<0.05). Conclusion:Compared with ONSS group,LNSS is a higher security surgery with little trauma,lower postoperative pain score and shorter operative time,it can be a better way to treat T1a renal cell carcinoma.