中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2015年
5期
1193-1195
,共3页
李兵兵%顾朝辉%贾占奎%李文波%丁映辉%黄珍林%马中立%王展%杨锦建
李兵兵%顧朝輝%賈佔奎%李文波%丁映輝%黃珍林%馬中立%王展%楊錦建
리병병%고조휘%가점규%리문파%정영휘%황진림%마중립%왕전%양금건
非精原细胞瘤%腹腔镜%腹膜后淋巴结清扫
非精原細胞瘤%腹腔鏡%腹膜後淋巴結清掃
비정원세포류%복강경%복막후림파결청소
Non-seminomatous cell tumor%Laparoscopic%Retroperitoneal lymph node dissection
目的 探讨腹腔镜与开放性腹膜后淋巴结清扫术治疗临床Ⅰ～Ⅱ(a/b)期睾丸非精原细胞瘤的疗效.方法 遵循随机对照的分配方法,将睾丸非精原细胞瘤患者随机分为两组,腹腔镜腹膜后淋巴结清扫术治疗睾丸非精原细胞瘤11例,开放性腹膜后淋巴结清扫术治疗睾丸非精原细胞瘤11例,通过统计学分析手术时间、术中出血量、淋巴结清扫个数、术后胃肠道功能恢复时间、术后平均住院时间及术后并发症,比较两种术式的手术效果.结果 两组患者手术均获成功,无改变手术方式者.腹腔镜组与开放组的手术时间分别为(165±35) min和(176 ±41) min (P ＞0.05),术中出血量(101±12) ml和(200±28) ml (P＜0.05),淋巴结清扫(16 ±5)个和(17±4)个(P＞0.05),术后胃肠功能恢复时间(1.6±0.3)d和(2.2±0.5)d(P＜0.05),术后平均住院(7.5±2.8)d和(11.6±3.8)d(P＜0.05),腹腔镜组均未出现术后并发症,开放组1例出现伤口延迟愈合,1例出现高热症状.结论 腹腔镜腹膜后淋巴结清扫术相对于开放性手术,具有安全、高效、创伤小及恢复快等特点,此术式对临床Ⅰ～Ⅱ(a/b)期睾丸非精原细胞瘤有很好的疗效.
目的 探討腹腔鏡與開放性腹膜後淋巴結清掃術治療臨床Ⅰ～Ⅱ(a/b)期睪汍非精原細胞瘤的療效.方法 遵循隨機對照的分配方法,將睪汍非精原細胞瘤患者隨機分為兩組,腹腔鏡腹膜後淋巴結清掃術治療睪汍非精原細胞瘤11例,開放性腹膜後淋巴結清掃術治療睪汍非精原細胞瘤11例,通過統計學分析手術時間、術中齣血量、淋巴結清掃箇數、術後胃腸道功能恢複時間、術後平均住院時間及術後併髮癥,比較兩種術式的手術效果.結果 兩組患者手術均穫成功,無改變手術方式者.腹腔鏡組與開放組的手術時間分彆為(165±35) min和(176 ±41) min (P ＞0.05),術中齣血量(101±12) ml和(200±28) ml (P＜0.05),淋巴結清掃(16 ±5)箇和(17±4)箇(P＞0.05),術後胃腸功能恢複時間(1.6±0.3)d和(2.2±0.5)d(P＜0.05),術後平均住院(7.5±2.8)d和(11.6±3.8)d(P＜0.05),腹腔鏡組均未齣現術後併髮癥,開放組1例齣現傷口延遲愈閤,1例齣現高熱癥狀.結論 腹腔鏡腹膜後淋巴結清掃術相對于開放性手術,具有安全、高效、創傷小及恢複快等特點,此術式對臨床Ⅰ～Ⅱ(a/b)期睪汍非精原細胞瘤有很好的療效.
목적 탐토복강경여개방성복막후림파결청소술치료림상Ⅰ～Ⅱ(a/b)기고환비정원세포류적료효.방법 준순수궤대조적분배방법,장고환비정원세포류환자수궤분위량조,복강경복막후림파결청소술치료고환비정원세포류11례,개방성복막후림파결청소술치료고환비정원세포류11례,통과통계학분석수술시간、술중출혈량、림파결청소개수、술후위장도공능회복시간、술후평균주원시간급술후병발증,비교량충술식적수술효과.결과 량조환자수술균획성공,무개변수술방식자.복강경조여개방조적수술시간분별위(165±35) min화(176 ±41) min (P ＞0.05),술중출혈량(101±12) ml화(200±28) ml (P＜0.05),림파결청소(16 ±5)개화(17±4)개(P＞0.05),술후위장공능회복시간(1.6±0.3)d화(2.2±0.5)d(P＜0.05),술후평균주원(7.5±2.8)d화(11.6±3.8)d(P＜0.05),복강경조균미출현술후병발증,개방조1례출현상구연지유합,1례출현고열증상.결론 복강경복막후림파결청소술상대우개방성수술,구유안전、고효、창상소급회복쾌등특점,차술식대림상Ⅰ～Ⅱ(a/b)기고환비정원세포류유흔호적료효.
Objective To explore the clinical effects of laparoscopic retroperitoneal lymph node dissection vs.open surgery for clinical stage Ⅰ-Ⅱ nonseminomatous cell tumor.Methods Following the randomized controlled experiment method,the patients were randomly divided into two groups:11 cases of clinical stage Ⅰ-Ⅱ non-seminomatous cell tumor receiving laparoscopic retroperitoneal lymph node dissection,and in the same period,11 receiving open surgery.Through the statistical analysis of the operative time,the intraoperative blood loss,mean dissected lymph node number,the postoperative hospital stay and the postoperative complication,the effect of two surgical procedures was compared.Results All cases were operated successfully without changing surgical approach.Between the laparoscopic and open groups,the mean operation time was (165 ± 35) min vs.(176 ± 41) min (P ＞ 0.05),mean blood loss was (101 ±12) ml vs.(200 ±28) ml (P ＜0.05),the mean dissected lymph node number was (16 ±5) vs.(17 ±4) (P ＞ 0.05),mean postoperative gastrointestinal function recovery time was (1.6 ± 0.3) days vs.(2.2 ± 0.5) days (P ＜ 0.05),and mean postoperative hospital stay was (7.5 ± 2.8) days vs.(11.6 ± 3.8) days (P ＜ 0.05).No postoperative complications occurred in the laparoscope group.In the open group,there was one case of wound delayed healing and 1 case of high fever.Conclusion Laparoscopic retroperitoneal lymph node dissection is safe and effective with less trauma and faster recovery,and it can be used as first-line choice for diagnosis and treatment of clinical stage Ⅰ-Ⅱ nonseminomatous cell tumor.
