CAJ | 학술논문

目的：比较后腹腔镜下与开放性肾癌根治术治疗T1期肾癌的临床疗效。方法将该院于2010年1月-2014年1月收治的T1期肾癌患者60例，随机分为2组，各30例，观察组采用后腹腔镜下肾癌根治术，对照组采用开放性肾癌根治术，比较两组的一般资料和临床疗效的差异。结果两组患者的一般资料差异无统计学意义（P>0.05），其中术中出血量、术后肠蠕动恢复时间、术后并发症发生率、术后下床活动时间、术后拔除引流管时间以及术后止痛药用量方面后腹腔镜下手术优于开放性手术，差异有统计学意义（P<0.05）；而手术时间及术后并发症发生率相近，差异无统计学意义（P>0.05）。结论与开放肾癌根治术相比，后腹腔镜下肾癌根治术手术适应征较窄，但具有创伤小、出血量少、术后并发症发生率低，术后恢复快的优点，宜作为T1期肾癌的首选。
목적：비교후복강경하여개방성신암근치술치료T1기신암적림상료효。방법장해원우2010년1월-2014년1월수치적T1기신암환자60례，수궤분위2조，각30례，관찰조채용후복강경하신암근치술，대조조채용개방성신암근치술，비교량조적일반자료화림상료효적차이。결과량조환자적일반자료차이무통계학의의（P>0.05），기중술중출혈량、술후장연동회복시간、술후병발증발생솔、술후하상활동시간、술후발제인류관시간이급술후지통약용량방면후복강경하수술우우개방성수술，차이유통계학의의（P<0.05）；이수술시간급술후병발증발생솔상근，차이무통계학의의（P>0.05）。결론여개방신암근치술상비，후복강경하신암근치술수술괄응정교착，단구유창상소、출혈량소、술후병발증발생솔저，술후회복쾌적우점，의작위T1기신암적수선。
Objective To compared the effects of retroperitoneoscopic and open radical nephrectomy treatment for the stage T1 renal cell carcinoma. Methods The hospital from 2010 January to 2014 January were treated 60 patients with T1 renal cell carcinoma were randomly divided into two groups of 30 patients, the observation group were given the retroperitoneoscopic radical nephrectomy, and the control group were given the open radical nephrectomy, two groups of general information and clinical efficacy differences were compared. Results The general information compared differences in the two groups were not statistically significant (P>0.05), The blood loss, postoperative morbidity, postoperative bowel recovery time, postoperative drainage tubes were removed, postoperative ambulation and the amount of postoperative analgesic in the observation group were better than the control group (P<0.05);and the operative time and postoperative complication rates compared in the two groups were similar, the difference were not statistically significant (P>0.05 ). Conclusion Compared with open radical nephrectomy, Retroperitoneoscopic radical nephrectomy surgical indications is narrow, but with the advantages of less trauma, less bleeding, low complication rate, quick recovery, as appropriate preferred stage T1 renal cell carcinoma.