经腹入路与后腹腔入路腹腔镜下肾部分切除术治疗肾肿瘤的疗效分析

目的 探讨经腹入路与后腹腔入路腹腔镜下肾部分切除术治疗肾肿瘤的疗效及安全性.方法 肾肿瘤患者29例,根据治疗方法分为两组,其中经腹入路组14例,后腹腔入路组共15例,比较两组患者的疗效及安全性.结果 患者年龄、性别、体质指数、ASA评分、R.E.N.A.L评分等一般资料差异无统计学意义(P>0.05);经腹入路组和后腹腔入路组手术时间分别为(252.6±62.6)min、(166.5±52.6)min,两组恢复进食时间分别为(46.3±9.8)h、(26.3±5.5)h,术后住院时间分别为(8.8±2.3)d、(6.5±1.8)d,经腹入路组手术时间、术后恢复时间和术后住院时间均长于后腹腔入路组,两组差异具有统计学意义(P<0.05);经腹腔入路患者T分期较后腹腔入路者更高,其差异具有统计学意义(P<0.05).结论 经腹入路和后腹腔入路两种腹腔镜下肾部分切除术对于肾肿瘤的患者都是安全有效的好方法,各有优劣,经腹入路手术空间更大,后腹腔入路术后恢复更快.

Efficacy and Safety of Abdominal Approach and Retroperitoneal Approach Laparoscopic Partial Nephrectomy for Renal Tumor

Objective To investigate the efficacy and safety of abdominal approach and retroperitoneal approach laparo -scopic partial nephrectomy for renal tumor .Methods 29 cases were selected and divided into 2 groups .14 cases in abdominal approach group ,15 cases in retroperitoneal approach group ,the efficacy and safety of the 2 groups were compared .Results Age, gender,BML,ASA,R.E.N.A.L of the 2 groups had no statistic significance (P>0.05).Surgery time of the 2 group were (252.6 ±62.6)min、(166.5 ±52.6)min,resumed taking time were(46.3 ±9.8)h、(26.3 ±5.5)h,hospital stay were(8.8 ± 2.3)d、(6.5 ±1.8)d.Surgery time,postoperative recovery time and hospital stay of abdominal approach group were higher than retroperitoneal approach group ,the difference was statistically significant (P<0.05).The proportion of T staging in abdominal approach was higher than the retroperitoneal approach ,and the difference was statistically significant (P<0.05).Conclusion Abdominal approach and retroperitoneal approach laparoscopic partial nephrectomy for renal tumor is safe and effect ,each have advantages and disadvantages ,abdominal approach has larger surgery space and retroperitoneal approach has quicker recovery .