摘要
目的:探讨经腹入路与后腹腔入路行腹腔镜超声辅助肾部分切除术治疗中央型肾癌的手术效果。方法:2012年1月至2015年3月中央型肾癌患者分别经腹入路(经腹组)与经后腹腔入路(后腹腔组)行腹腔镜超声辅助的肾部分切除术,每组15例,分析两组患者的临床资料,评价两种入路的手术时间、肾动脉阻断时间、术中失血量、标本重量、切除肿瘤大小、恢复进食时间、住院时间等指标。结果:两组手术均获成功。两组患者肿瘤大小、术中失血量、标本重量、肾动脉阻断时间等差异无统计学意义(P>0.05),后腹腔组腹腔镜手术时间、超声使用时间、恢复进食时间、住院时间均少于腹腔组(P<0.05或P<0.01)。结论:后腹腔入路与经腹入路行腹腔镜超声辅助肾部分切除术治疗中央型肾癌效果均较好,但后腹腔入路在手术时间、腹腔镜超声使用时间、术后康复方面具有优势。
Objective： To study the treatment effect of retroperitoneal and transperitoneal laparoscopic ultrasonography-assisted partial nephrectomy for centrally located para-hilus renal tumors. Methods： From Jan. 2012 to Mar. 2015,fifteen patients of centrally located para-hilus renal tumors underwent transperitoneal laparoscopic ultrasonography-assisted partial nephrectomy and fifteen cases of similar patients were treated with retroperitoneal laparoscopic ultrasonography-assisted partial nephrectomy. The clinical data of thirty cases,which included operation time,renal artery occlusion time during operation,blood loss,weight of specimen,size of resected tumor,diet recovery time and the hospital stay were evaluated respectively in the two groups. Results： Two groups of patients were operated successfully. There were no significant differences between the tumor size,intraoperative blood loss,specimen weight and time of renal artery occlusion in the two groups（ P 0. 05）. Laparoscopic ultrasound time,operation time,diet recovery time and hospital stay of the retroperitoneal operation group were shorter than those of the transperitoneal operation group（ P 0. 05 or P 0. 01）. Conclusions：Treatment effect of both retroperitoneal and transperitoneal laparoscopic ultrasonography-assisted partial nephrectomy for centrally located para-hilus renal tumors is nice. If it is applicable,patients treated with retroperitoneal laparoscopic ultrasonography-assisted partial nephrectomy will take less time on laparoscopic ultrasound,operation and postoperative recovery.
出处
《腹腔镜外科杂志》
2016年第3期215-219,共5页
Journal of Laparoscopic Surgery
关键词
肾肿瘤
肾部分切除术
腹腔镜超声
经腹腔路径
腹膜后路径
疗效比较研究
Kidney neoplasms
Partial nephrectomy
Laparoscopic ultrasonography
Transperitoneal approach
Retroperitoneal approach
Comparative effectiveness research
