腹腔镜与开放行肾部分切除术的临床疗效比较

目的：比较腹腔镜下与开放行肾部分切除术治疗肾肿瘤的效果。方法：回顾性分析2007年1月～2010年7月肾部分切除术41例，其中腹腔镜肾部分切除术18例，开放肾部分切除术23例，对两种方法的临床效果进行比较。结果：腹腔镜组和开放组术中出血量分别为（200±35）ml、（363±48）ml，进食时间分别为（2．7士1．0）d、（3．8±1．3）d，住院时间分别为（13．2±3．0）d、（16．4±4．3）d，两组比较差异有统计学意义（P〈0．05）。两组术后引流管留置时间分别为（3．7±1．3）d、（4．7士1．4）d，两组比较无明显差异（P〉0．05）。腹腔镜组和开放组手术时间分别为（137土95）min、（125±52）min，热缺血时间分别为（27．8i2．1）min、（17．8±8．6）min，两组比较差异有统计学意义（P〈0．05）。结论：与开放肾部分切除术相比，腹腔镜肾部分切除术具有失血量少、术后进食快、住院时间短等优点，但手术时间和。肾热缺血时间稍长。

Comparison of Laparoscopic and Open Partial Nephrectomy

Objective：To compare the clinical effects of retroperitoneal laparoscopic partial nephrectomy（LPN） and open partial nephrectomy（OPN） in the treatment of small renal masses. Methods：41 cases of partial nephrectomy were retrospectively analysed from January 2007 to July 2010, including 18 cases laparoscopic partial nephrectomy and 23 cases of open partial nephrectomy, compared the operation time, blood loss, warm ischemia time,and the time of drainage,time of anus exsufflation,hospital stay and so on. Results：There were no siginificance in the time of drainage （LPN vs OPN：3.7±1.3 d vs 4.7±1.4 d,P〉0.05）. In the blood loss,anus exsufflation,hospital stay LPN was better than OPN （LPN vs OPN：200!35 ml vs 363±48 ml,2.7±1.0 d vs 3.8±1.3 d,13.2±3.0 d vs 16.4±4.3 d） but in operation time and warm ischemia time OPN was better than LPN （LPN vs OPN： 137±95 min vs 125±52 rain,27.8±2.1 min vs 17.8±8.6 min,P〈0.05）. Conclusions：Comparing with OPN,LPN has advantages of less blood loss, earlier hospital discharge and convalescence, at the same time, the operation time and warm ischemia time is longer.