【摘要】 目的评价后腹腔镜下肾部分切除术治疗肾肿瘤的临床效果和安全性。方法选取我院收治的40例肾肿瘤患者随机分为对照组(n=20)与试验组(n=20),对照组采取开放性肾部分切除术治疗,试验组采取后腹腔镜下肾部分切除术治疗,比较两组手术指标及术后并发症发生情况。结果试验组肾动脉阻断时间、术中出血量均显著优于对照组,差异有统计学意义(P<0.05);试验组置管时间、术后肛门排气时间,平均住院时间均明显短于对照组,差异有统计学意义(P<0.05);试验组术后并发症总发生率为10.00%,稍低于对照组的25.00%,但差异无统计学意义(P>0.05)。结论采用后腹腔镜下肾部分切除术治疗肾肿瘤具有一定的有效性和安全性,更有利于患者术后康复,值得在临床中进一步推广。更多还原

【Abstract】 Objective To observe the efficacy and safety of retroperitoneal laparoscopic partial nephrectomy(RLPN) for kidney neoplasms. Methods Forty patients treated in our hospital were randomly divided into control group and experimental group, with 20 cases in each group. The control group was treated with open partial nephrectomy, and the experimental group was treated with RLPN. The operation indexes and postoperative complications were compared in the two groups.Results The renal artery occlusion time and the intraoperative blood loss of the experimental group were better than those of the control gruoup(P<0.05). The intubation time, postoperative anal exaust time and the average stay in the experimental group were better than thoese of the control group(P<0.05). The total incidence rate of postoperative complications in the experimental group was 10.00%, which was slightly higer than 25.00% of the control group, but the difference was not significant(P>0.05). Conclusion RLPN is effective and safe in the treatment of kidney neoplasms, and benefit for postoperative rehabilitation and worthy of further application.更多还原