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目的分析后腹腔镜下与开放性肾癌根治术治疗局限性肾癌的临床疗效。方法选取我院局限性肾癌患者76例,采用后腹腔镜下与开放性肾癌根治术各38例,对比两组在手术时间、术中估计出血量、术中输血率、术后镇痛药物使用剂量、胃肠道功能恢复时间、及术后住院时间、术后并发症等方面的差异。结果后腹腔镜组术中估计出血量明显少于开放组,差异有统计学意义。后腹腔镜组平均手术时间较开放组手术时间长,但组间差异无统计学意义,术中输血率一样。后腹腔镜组住院时间、术后并发症、术后镇痛药物使用剂量、胃肠道功能恢复时间均明显优于开放组(P<0.05)。结论相比于与开放性肾癌根治术,后腹腔镜下肾癌根治术治疗局限性肾癌疗效更加确切。
Objective To analyze the clinical effect of retroperitoneal laparoscopic and open radical nephrectomy in the treatment of localized renal cell carcinoma. Methods Totally 76 patients with localized renal cell carcinoma were treated with retroperitoneal laparoscopy and open radical nephrectomy in 38 patients. The operative time, intraoperative blood loss, intraoperative blood transfusion rate, postoperative analgesia Medication dose, gastrointestinal function recovery time, and postoperative hospital stay, postoperative complications and other differences. Results The postoperative laparoscopic surgery group was significantly less bleeding than the open group, the difference was statistically significant. The average operation time in laparoscopic group was longer than that in open group, but there was no significant difference between groups. The blood transfusion rate was the same. The laparoscopic group hospitalization time, postoperative complications, postoperative analgesic drug dosage, gastrointestinal function recovery time were significantly better than the open group (P <0.05). Conclusion Compared with open radical nephrectomy, retroperitoneal radical nephrectomy for the treatment of localized renal cell carcinoma is more accurate.