后腹腔镜肾癌根治术与开放手术的临床疗效比较

目的评价后腹腔镜肾癌根治术（LRN）与开放手术的临床疗效。方法回顾性分析29例后腹腔镜肾癌根性术（A组）和同期32例开放性肾癌根治术（B组）的临床资料,比较术中出血量、手术时间、术后使用镇痛剂剂量、术后引流量、术后肠功能恢复时间及术后住院时间。结果 A、B两组术中出血量分别为（80.0±15.0）ml和（270.0±90.0）ml（P〈0.01）,手术时间分别为（115.0±25.0）min和（127.0±43.0）min（P〉0.05）,术后镇静剂使用量分别为（30.0±10.0）mg和（140±20）mg（P〈0.01）,术后引流量分别为（90.0±20.0）ml和（150.0±35.0）ml（P〈0.05）,术后肠功能恢复时间分别为（22.0±12.0）h和（60.0±16.0）h（P〈0.01）,术后住院时间分别为（5.30±1.60）d和（11.70±3.30）d（P〈0.01）。结论 LRN较开放性肾癌根治术术中出血量少,术后疼痛轻,术后恢复快,同样可以达到肾癌根治的效果。

Comparison of clinical effects between laparoscopic radical nephrectomy and surgery

Objective To evaluate the clinical effects between laparoscopic radical nephrectomy and open surgery.Methods Retrospective analysis on clinical data,more blood loss,operative time,postoperative analgesic dose,postoperative drainage,postoperative intestinal function recovery time and postoperative hospital stay in 29 cases by LRN（group A） and 32 cases of open radical nephrectomy（group B）.In group A,tumor size was 3.0-7.5cm.And tumor size was 3.2-9.3cm in group B.All patients were pre-clinical stage T1N0M0-T2bN0M0.Results Blood loss was（80.0 ± 15.0） ml in group A and（270.0 ± 90.0） ml in group B（P 0.01）,A,B mean operating time was（115.0 ± 25.0） min and（127.0 ± 43.0） min in group A and group B,respectively.A,B postoperative drainage was（90.0 ± 20.0） ml and（150.0 ± 35.0） ml in group A and group B,respectively.Postoperative intestinal function recovery time was（22.0 ± 12.0） h and（60.0 ± 16.0） h in group A and group B,respectively（P 0.01）.Postoperative hospital stay was（5.30 ±1.60） d and（11.70 ±3.30） d in group A and group B,respectively（P 0.01）.Conclusion Comparing with open radical nephrectomy,Laparoscopic radical nephrectomy had less blood loss,postoperative pain,rapid recovery,also can achieve the effect of radical nephrectomy.