摘要
目的比较腹腔镜主动脉—下腔静脉间隙超早期肾动脉阻断术联合肾癌根治术与经典方式肾动脉阻断术联合开放性肾癌根治术治疗右侧肾癌的临床效果。方法 2009年3月至2013年2月来我院就诊的80例肾癌患者(右肾,单侧)按照手术方式的不同分为观察组(行腹腔镜主动脉-下腔静脉间隙超早期肾动脉阻断术右侧肾癌根治术)、对照组(行经典方式肾动脉阻断术开放性右侧肾癌根治术)各40例。结果观察组、对照组手术时间分别为(172.3±37.8)min、(193.6±68.4)min,术中出血量分别为(161.5±53.7)mL、(192.3±72.1)mL,术后住院时间分别为(6.4±2.5)d、(7.4±2.2)d,观察组均低于对照组(P<0.05);引流管留置时间、并发症、癌转移指标,观察组与对照组差异无统计学意义(P>0.05)。结论腹腔镜主动脉-下腔静脉间隙超早期肾动脉阻断术联合右侧肾癌根治术较经典方式肾动脉阻断术右侧肾癌根治术是一种有效的治疗方式。
Objective To compare different methods for blocking renal artery in laparoscopic radical nephrectomy,and to discuss the clinical value of direct access to the renal artery.Methods From March 2009 to July 2013,80 paticnts with right renal neoplasms treated in our hospital were divided into two groups.The observation group received laparoscopic radical nephrectomy via aorta-inferior vena cava,while the control group received traditional surgery.Results The average operation time,blood loss,postoperative hospital stay were （172.3±37.8） vs.（193.6±68.4） min,（161.5±53.7） vs.（192.3±72.1） mL,and （6.4±2.5） vs.（7.4±2.2） d for the observation and control group,（P＜0.05）.The average drainage tube indwelling time,incidence of complications and metastatic cancer were shorter/lower in the observation group than in the control group,but there was no statistical difference （P＞0.05）.Conclusion Laparoscopic aorta-inferior vena cava gap super early renal artery occlusion combined with right radical nephrectomy is an effective treatment modality.
出处
《现代泌尿外科杂志》
CAS
2014年第7期438-440,共3页
Journal of Modern Urology
关键词
腹腔镜
肾肿瘤
肾动脉阻断术
肾癌根治术
对比分析
laparoscopy
renal neoplasms
renal artery isolation and blockage
radical nephrectomy
comparative analysis
