后腹腔镜下右肾癌根治术中肾静脉处理方法比较

张家俊; 刘贝贝; 陈志军; 汪盛; 王成勇; 方习武; 李庆文; 刘建民

doi:10.13898/j.cnki.issn.1000-2200.2019.09.018

后腹腔镜下右肾癌根治术中肾静脉处理方法比较

Comparison of renal vein management in retroperitoneoscope radical resection of right renal carcinoma

摘要

摘要:
目的探讨后腹腔镜下右肾癌根治术中不同肾静脉处理方法对手术的影响。
方法后腹腔镜下右肾癌根治术35例中，肾唇附近离断肾动脉（A组）16例，下腔静脉右侧壁旁离断肾动脉（B组）19例，比较2组手术时间、术中出血量、放置引流管时间、术后卧床时间及术后住院时间的差异。
结果A组在手术时间、术中出血量、放置引流管时间方面均优于B组（P < 0.01）。术后卧床时间及术后住院时间2组差异均无统计学意义（P>0.05）。
结论后腹腔镜下右肾癌根治术中，肾唇附近离断右肾动脉，相比下腔静脉右侧壁旁离断右肾动脉手术操作便利，节省手术时间，减少手术创伤，提高手术安全性，此种方法值得借鉴。

Abstract:
ObjectiveTo investigate the effect of different renal vein management methods on right renal carcinoma radical operation under retroperitoneoscope.
MethodsRetrospective analysis of the clinical data of 35 patients with right renal cancer who underwent retroperitoneal laparoscopic radical resection of right renal carcinoma:the renal artery was severed near the lip of the kidney(group A) and the renal artery was severed near the right lateral wall of the inferior vena cava (group B).
ResultsThe operative time of group A was better than that of group B in terms of intraoperative blood loss and drainage tube placement time, with statistically significant differences(P < 0.01).There was no statistically significant difference in postoperative bed time and postoperative hospital stay between the two groups(P>0.05).
ConclusionsIn the radical surgery of right renal carcinoma under retroperitoneal laparoscope, the separation of the right renal artery near the lip of the kidney is more convenient than that near the right wall of the inferior vena cava, which saves the operation time, reduces the surgical trauma and improves the surgical safety.This method is worthy of reference.

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