大体积肾癌经腹入路与经后腹腔入路腹腔镜根治性切除术的效果比较

伍宏亮; 陈志军; 王成勇; 杨帅; 代昌远; 孙文衍; 薛胜; 关翰

doi:10.13898/j.cnki.issn.1000-2200.2024.07.004

大体积肾癌经腹入路与经后腹腔入路腹腔镜根治性切除术的效果比较

Comparison of outcome indicators between transabdominal and retroperitoneal laparoscopic radical nephrectomy for large volume renal university carcinoma in a single center

摘要

摘要:
目的比较经腹入路与经后腹腔入路腹腔镜手术在大体积肾癌中的效果。
方法选取大体积肾癌病人60例，分为经腹腔入路手术组(经腹腔组)和经后腹腔入路手术组(经后腹腔组)，比较2组病人临床指标及术后并发症发生率。
结果经腹腔组的手术时间、术后通气时间、术后住院时间均短于经后腹腔组，术后24 h疼痛评分低于经后腹腔组，但出血量高于经后腹腔组，差异均有统计学意义(P＜0.05~P＜0.01)，2组术后并发症差异无统计学意义(P>0.05)。
结论 2种手术方式在治疗大体积肾癌中均安全、有效。但经腹入路的的手术时间更短，术后更早通气，恢复更快，值得选择。

Abstract:
Objective To compare the efficacy of laparoscopic surgery through transabdominal and retroperitoneal approaches in the treatment of large volume renal cell carcinoma.
Methods Sixty patients with large volume renal cell carcinoma were selected and divided into a transabdominal surgery group (transabdominal group) and a retroperitoneal surgery group (retroperitoneal group). The clinical indicators and incidence of postoperative complications of patients were compared between the two groups.
Results The operation time, postoperative ventilation time, and postoperative hospital stay in the transabdominal group were shorter than those in the transabdominal group, the postoperative 24-hour pain score was lower than that in the transabdominal group, but the amount of bleeding was higher than that in the transabdominal group, and the differences were statistically significant (P<0.05 to P<0.01). There was no statistically significant difference between postoperative complication between the two groups (P>0.05).
Conclusions Both surgical methods are safe and effective in treating large volume renal cell carcinoma. But the transabdominal approach has a shorter surgical time, earlier postoperative ventilation, faster recovery, and is worth choosing.

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