【摘要】 目的评价开放与经腹膜后腹腔镜行肾蒂淋巴管结扎术的临床价值。方法将26例开放行肾蒂淋巴管结扎术患者的临床资料与32例经腹膜后腹腔镜肾蒂淋巴管结扎术患者的临床资料进行比较,统计分析两种术式在手术时间、术中出血量、术后镇痛、术后住院天数、术后恢复工作时间、拔管时间等的差别。结果所有手术均获成功。两组手术时间分别为(145.77±3.85)min和(99.78±4.86)min;术中出血量分别为(32.89±4.11)mL和(13.47±2.36)mL;术后镇痛分别占88.46%和0.94%;术后住院天数分别为(9.08±0.25)d和(7.19±0.29)d,术后恢复工作时间分别为(29.23±1.54)d和(19.66±1.08)d。两组比较差异均有显著性(P<0.01)。两组在拔管时间上差异无统计学意义(P>0.05)。结论经腹膜后腹腔镜肾蒂淋巴管结扎术具有创伤小、手术时间短、术中出血少、淋巴管结扎彻底、术后恢复快、并发症少等优点,已成为现代肾蒂淋巴管结扎术治疗的的最佳选择。更多还原

【Abstract】 Objective To evaluate the clinical effect of chyluria with different methods, opening surgery and retroperitoneal laparoscopic kidney pedicle lymphatic disconnection. Methods A total of 58 cases of chyluria underwent kidney pedicle lymphatic disconnection. Of them 26 cases (12 males and 14 females;mean age, 54.6 years) underwent open surgery and 32 cases (14 males and 18 females;mean age, 57.9 years) underwent retroperitoneal laparoscopic surgery. The operative time, average intraoperative bleeding volume, postoperative relieve pain, post operative time of geting out of bed, post operative hospital day, post operative time of returning to work , postoperative time of extubateing of the 2 groups were compared and analyzed. Results The 2 surgical procedures were both successful. The operative time was (145.77±3.85) min and (99.78±4.86) min, respectively, with open surgery and retroperitoneoscopic. The average intraoperative bleeding volume was (32.89±4.11) mL and(13.47±2.36) mL, respectively;postoperative relieve pain was 88.46%, 0.94%,respectively;postoperative hospital day was (9.08±0.25) d and (7.19±0.29) d, respectively;postoperative time of returning to work was (29.23±1.54) d and(19.66±1.08) d, respectively. The differences between the 2 groups were significant (P <0.01). There were no obvious difference of postoperative time of extubateing (P >0.05) between the 2 groups. Conclusions The operative time, average intraoperative bleeding volume , postoperative relieve pain, post operative hospital day, post operative time of returning to work with retroperitoneal laparoscopic kidney pedicle lymphatic disconnection were superior to those with open surgery.更多还原