供者肾切取术新旧术式效果的比较

目的通过比较后腹腔镜活体供肾切取术与传统开放活体供肾切取术的术后效果，探讨后腹腔镜活体供肾切取术的安全性和优越性。方法选择本院2007年8月至2009年12月间组医生完成的活体供肾切取术45例，分为腹腔镜组25例和开放手术组20例，比较两组术后护理特点。结果两组患者手术及恢复均顺利。术后腹腔镜组的引流管和尿管留置天数、术后禁食天数、术后卧床时间、术后住院天数均少于开放手术组，差异均有统计学意义（P〈0．01）。结论后腹腔镜活体供者。肾切取术具有创伤小、术后恢复快、术后住院天数少等优越性，值得临床推广应用。

Comparison of effect between retroperitoneal laparoscopic living donor nephrectomy and open surgery

Objective To study the advantage of retroperitoneal laparoscopic living donor nephrectomy through comparative study on postoperative care between retroperitoneal laparoscopic living donor nephrectomy and open surgery. Methods During the period from August 2007 to December 2009, living donor nephrectomy were divided into 25 cases of retroperitoneal laparoscopic surgery and 20 cases of open surgery. The nursing characteristics were compared. Results The operation and recovery of all patients are successful. The drainage tube indwelling days, urinary catheter indwelling days, postoperative bed time, days of absolute diet and hospitalization in retroperitoneal laparoscopic surgery group were significantly shorter than those in open surgery group(P <0. 01). Conclusions Retroperitoneal laparoscopic living donor nephrectomy has the advantages of minimally invasive, rapid recovery and fewer hospital days, Worth being popularized in clinical otolaryngology application