老年肾脏恶性肿瘤后腹腔镜与开放手术的对比研究 |
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引用本文: | 李辽源,高新,杨明,张海滨,徐文峰,林哲,刘建华,李解方.老年肾脏恶性肿瘤后腹腔镜与开放手术的对比研究[J].中华腔镜泌尿外科杂志(电子版),2008,2(3):11-14. |
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作者姓名: | 李辽源 高新 杨明 张海滨 徐文峰 林哲 刘建华 李解方 |
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作者单位: | 1. 510630,广州,中山大学附属第三医院泌尿外科;528000,佛山,广东省佛山市第一人民医院泌尿外科 2. 中山大学附属第三医院泌尿外科,广州,510630 3. 广东省佛山市第一人民医院泌尿外科,佛山,528000 4. 南华大学附属第一医院泌尿外科,衡阳,421000 |
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摘 要: | 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。
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关 键 词: | 肾肿瘤 腹腔镜 肾切除术 老年 |
A comparative study of laparoscopic and open radical nephrectomy in thc elder |
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Authors: | LI Liao-yuan GAO Xin YANG Ming ZHANG Hai-bin XU Wen-feng LIN Zhe LIU Jian-hua LI Jie-fang |
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Institution: | LI Liao-yuan, GAO Xin, LI Liao-yuan, YANG Ming, ZHANG Hai-bin, XU Wen-feng, LIN Zhe, LIU Jian-hua,LI Jie-fang (1.Department of Urology, The Third Affiliated Hospital of SUN Yat-sen University, Guangzhou 510630, China; 2. Department of Urology, The First People's Hospital of Foshan, Foshan 528000, China. 3. Department of Urology, The First Affiliated Hospital of South-China University, Heng yang 421000, China) |
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Abstract: | 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. |
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Keywords: | Kidney neoplasms Peritoneoscopy Nephrectomy The elder |
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