后腹腔镜下与开放性肾癌根治术治疗局限性肾癌的比较

目的对比腹膜后腹腔镜肾癌根治术与开放性肾癌根治术治疗局限性肾癌的临床疗效。方法回顾分析2010年1月至2013年6月我院收治的局限性肾癌患者65例，其中行后腹腔镜下肾癌根治术35例，开放性肾癌根治术30例，比较两组的一般临床资料和疗效指标的差别。结果两组患者的年龄、BMI、肿瘤位置、肿瘤大小、手术时间差异无统计学意义（P〉0．05），而手术出血量、术后拔除引流管时间、术后下床活动时间、术后住院时间等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）。结论与开放肾癌根治术相比，后腹腔镜下肾癌根治术具有出血少、术后恢复快的优点，是一种安全、有效的治疗方法，可作为局限性肾癌的首选治疗方法。

Re.peritoneal laparoacopic versus open nephrectomy for localized renal cell carcinoma

Objective To compare the clinical curative effect between retroperitoneal laparoscopic and open radical nephreetomy for localized renal cell carcinoma. Methods The data of 65 patients with localized renal cell carcinoma from January 2010 to June 2013 in our hospital were analyzed retrospectively. Laparoscopic radical nephrectomy was performed in 35 cases, open radical nephrectomy in 30 cases. The two groups were compared. Results No significant difference in age, BMI, tumor location, tumor size, operation time between two groups （P〉0.05）. The blood loss, duration of tube drainage drainage tubes time, ambulation time, hospital stay, were statistically different （P〈 0.05） and retroperitoneal laparoscopic was better than open nephrectomy. Conclusions Compared with open radical nephrectomy, laparoseopic radical nephreetomy with tess bteeding, faster recovery advantages, is a safe and effective treatment can be used as the preferred treatment for localized renal cell carcinoma.