老年肾脏恶性肿瘤后腹腔镜与开放手术的对比研究

目的评价老年肾脏恶性肿瘤患者腹腔镜根治性肾切除术的临床价值。方法回顾性分析老年肾脏恶性肿瘤患者行腹腔镜根治性肾切除21例（A组）及开放性根治性肾切除32例（B组）的临床资料。结果A组在术中出血量、术后卧床时间、住院天数、并发症发生率方面明显优于B组，（P〈0．05）；B组在手术操作时间、住院总费用方面优于A组，（P〈0．05），两组肿瘤复发率差别无统计学意义（P〉0．05）。结论只要严格掌握手术适应证，积极做好围手术期处理，腹腔镜根治性肾切除术对老年肾脏肿瘤患者仍然适合，且具有术中创伤小、术后恢复快、并发症发生率低等优点。

A comparative study of laparoscopic and open radical nephrectomy in thc elder

Objective To evaluate the clinical value oflaparoscopic radical nephrectomy which was compared with open surgery in the elder. Meethods The clinical datum of 21 cases （ group A） who underwent laparoscopic radical nephrectomy and 32 cases （group B） who underwent open radical nephrectomy were analyzed retrospectively. Remits In group A , blood loss, postoperative ambulation , the hospital stay , and the occurrence of complications were all better than those in group B （P〈0.05）. While in group B, the operative time and the total cost of hospitalization were less than group A （P〈0.05）. Conclusions Compare to open radical nephrectomy, laparoscopic radical nephrectomy has the advantages of rapid recovery and less pain in the elder. Laparoscopic radical nephrectomy needs strict operation indication and pefi-operation period treatment.