| 黄涛,徐从云,许言,刘义迅,肖峻,苏红.腔镜下经腹腔和经腹膜后行根治性肾切除术的疗效比较[J].中国临床保健杂志,2020,23(2):264-266. |
| 腔镜下经腹腔和经腹膜后行根治性肾切除术的疗效比较 |
| Comparison of curative effect of transpetritoneal and retroperitoneum laparoscopic radical nephrectomy |
| 投稿时间：2019-02-11 |
| DOI：10.3969/J.issn.1672-6790.2020.02.031 |
| 中文关键词: 肾切除术 癌,肾细胞 腹腔镜检查 对比研究 |
| 英文关键词: Nephrectomy Carcinoma,Renal Cell Laparoscopy Comparative Study 〖FL |
| 基金项目:2018年度“科大新医学”联合基金培育项目(WK9110000043) |
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| 中文摘要: |
| 目的 对比经腹腔和经腹膜后两种途径肾癌根治术临床疗效,探讨腔镜下经腹腔途径肾癌根治术的安全性及控瘤效果。方法 回顾性分析104例接受腹腔镜下肾癌根治术患者临床资料,按经腹腔或腹膜后途经手术分成两组,比较两组患者基线、围手术期和术后长期随访结果。结果 经腹腔途经组共纳入患者55例,经腹膜后途经组共纳入患者49例。经腹腔途经组患者手术时间和经腹膜后途经组手术时间和出血量相比,亦差异均无统计学意义(P＞0.05)。并发症发生率、肠道功能恢复时间、下床时间、术后住院时间及肿瘤复发率组间差异无统计学意义(P＞0.05)。结论 经腹腔途径肾癌根治术和经腹膜后途径相比,在手术难度、并发症发生率及术后恢复方面均无较大差异,可以作为腹腔镜肾癌根治术的常规入路。 |
| 英文摘要: |
| Objective Evaluating the safety and tumor-control efficacy of transpetritoneal laparoscopic radical nephrectomy (LRN).Methods The clinical data of 104 patients who received LRN were collected retrospectively before being divided into two groups according to the approach of trans-and retroperitoneum.The data of baseline,perioperative and long-term follow-up from different group were compared subsequently.Results There were 55 and 49 patients in the group of trans-and retroperitoneum respectively.There was no significant difference between groups in the operative time,bleeding volume,rate of complication,time of intestinal function recovery,postoperative hospital stay as well as the incidence of recurrence (P>0.05).Conclusions Transperitoneal LRN has equivalent difficulty,complication and recurrence rates compared with the approach of retroperitoneum,which is a favorable alternative in the treatment of renal cell carcinoma. |
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