后腹腔镜肾癌根治术与传统开放术式治疗局限性肾癌的临床优势分析

目的探讨并分析后腹腔镜肾癌根治术与传统开放术式治疗局限性肾癌的临床效果。方法选取本院2010年7月至2013年6月收治的96例局限性肾癌患者,根据术式分为观察组和对照组,其中观察组51例应用后腹腔镜肾癌根治术,对照组45例行传统开放术式,比较分析两组术中相关临床指标的变化。结果观察组与对照组相比,术中出血量[（163.38±16.09）ml vs（270.42±18.64）ml]、术后通气时间[（38.29±1.64）h vs（61.32±2.16）h]、术后镇痛药物使用量[（34.20±3.35）mg vs（113.51±9.48）mg]、术后并发症的发生率（9.80%vs 29.41%）、术后引流拔除时间[（61.80±4.93）h vs（76.47±5.68）h]、下床活动时间[（4.11±0.87）d vs（5.95 d±1.02）d]、平均术后住院时间[（11.38±1.09）d vs（14.63±1.76）d]均下降,差异具有统计学意义（P〈0.05）;而平均手术时间[（171.33±8.29）min vs（114.56±9.43）min]则升高,差异具有统计学意义（P〈0.05）。结论后腹腔镜肾癌根治术治疗局限性肾癌,是一种较理想的治疗手段。

The clinical analysis of retroperitoneal laparoscopic radical nephrectomy vs traditional open surgery in treatment of localized renal carcinoma

Objective To explore and analyze the clinical effects of retroperitoneal laparoscopic radical nephrectomy and traditional open in treatment of localized renal carcinoma. Method 96 patients of renal carcinoma treated in our hospital from July 2010 to June 2013 were selected and then divided into either observation group or control group based on their respective operation mode, and the 51 cases in the observation group were given retroperitoneal laparoscopic radical nephrectomy and the other 45 cases of the control group were administered with traditional open surgery. The related clinical indices were compared and variations were analyzed. Result For observation group vscontrol group, the bleeding volume [（163.38 ml ± 16.09 ml） vs（270.42 ml ± 18.64 ml）], ventilation time [（38.29 h± 1.64 h） vs（61.32 h ± 2.16 h）], consumption of analgesics [（34.20 mg ± 3.35 mg） vs（113.51 mg ± 9.48 mg）], incidence of complications（9.80% vs 29.41%）, postoperative extubation time [（61.80 h ± 4.93 h） vs（76.47 h ± 5.68 h）],activity time out of bed [（4.11 d ± 0.87 d） vs（5.95 d ± 1.02 d）], and the average hospitalization time [（11.38 d ±1.09 d） vs（14.63 d ± 1.76 d）] were all decreased significantly（P〈0.05） in the observation group; while the average operation time of which was significantly higher [（171.33 min ± 8.29 min） vs（114.56 min ± 9.43 min）]（P〈0.05）.Conclusion Retroperitoneal laparoscopic radical nephrectomy for localized renal carcinoma is an operative and satisfying mode.