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目的:通过与标准后腹腔镜根治性肾切除术进行对照研究,评估单孔后腹腔镜根治性肾切除术的临床疗效。方法:2011年4月~2012年8月,行单孔后腹腔镜根治性肾切除术53例,随机选择同一时期行标准后腹腔镜根治性肾切除术53例,将两组资料的临床及病理指标进行对照研究。结果:两组病例的术后切口引流管拔除时间分别为(3.20±1.45)d和(3.80±1.80)d,术后住院天数分别为(6.60±1.50)d和(7.30±1.82)d,均差异有统计学意义(P<0.05)。两组病例的性别、年龄、体质指数、手术时间、手术失血量、术后第1、2、3天的切口引流量、手术部位、肿瘤位置、肿瘤大小、TNM分期、Fuhrman分级、术中术后并发症均差异无统计学意义(P>0.05)。两组各有1例患者中转开放手术。结论:与标准后腹腔镜比较,单孔后腹腔镜根治性肾切除术安全可行,可缩短住院时间,具有较好的美容效果。
OBJECTIVE: To evaluate the clinical efficacy of laparoscopic radical nephrectomy by standard post-laparoscopic radical nephrectomy. Methods: From April 2011 to August 2012, 53 patients undergoing laparoscopic radical nephrectomy were randomly divided into three groups. One hundred and fifty-five cases underwent standard retroperitoneal laparoscopic radical nephrectomy. The clinical data and clinical data of two groups Pathological indicators of controlled study. Results: The drainage time of postoperative incision drainage tube in both groups were (3.20 ± 1.45) d and (3.80 ± 1.80) days respectively, and the postoperative hospital stay were (6.60 ± 1.50) days and (7.30 ± 1.82 days) respectively The difference was statistically significant (P <0.05). The gender, age, body mass index, operation time, blood loss during operation, incision drainage rate at the first, second, and third postoperative days, operation site, tumor location, tumor size, TNM stage, Fuhrman grade, Postoperative complications were no significant difference (P> 0.05). One patient in each group was transferred to open surgery. Conclusion: Compared with standard retroperitoneal laparoscopy, laparoscopic radical nephrectomy is safe and feasible, which can shorten the length of hospital stay and has good cosmetic results.