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目的探讨后腹腔镜根治性肾切除术治疗肾癌患者的临床疗效。方法回顾性选取2012年7月至2014年1月在四平市中心医院接受治疗的肾癌患者40例作为观察组,采用后腹腔镜根治性肾切除术治疗;并选取同期肾癌患者40例作为对照组,采用开放肾切除术治疗。比较两组患者的治疗效果及预后。结果观察组患者手术时间、肠道恢复时间及术后住院时间均较对照组短,术中出血量较对照组少,术后并发症发生率较对照组低,两组比较,差异均有统计学意义(均P<0.05)。两组患者均随访至2015年8月,观察组1例术后12个月死于肝转移,对照组3例术后10个月死于肺转移、骨转移。其余患者经B型超声、X线、CT等检查,未出现远处转移等征象,恢复良好。结论对肾癌患者采用后腹腔镜根治性肾切除术治疗,手术操作简单方便,安全有效。
Objective To investigate the clinical effect of retroperitoneoscopic radical nephrectomy for renal cell carcinoma. Methods Forty patients with renal cell carcinoma treated in Siping Central Hospital from July 2012 to January 2014 were retrospectively selected as the observation group and treated with retroperitoneal laparoscopic radical nephrectomy. Forty patients with synchronous renal cell carcinoma Control group, the use of open nephrectomy. The therapeutic effect and prognosis of the two groups were compared. Results The operation time, intestinal recovery time and postoperative hospital stay in the observation group were shorter than those in the control group. There was less blood loss in the observation group than in the control group, and the incidence of postoperative complications was lower than that in the control group Significance (both P <0.05). Two groups of patients were followed up until August 2015. One patient in the observation group died of liver metastasis at 12 months after operation. Three patients in the control group died of lung metastasis and bone metastasis at 10 months after operation. The rest of the patients by B-mode ultrasound, X-ray, CT and other tests, no signs of distant metastasis, recovery is good. Conclusion The retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma patients is simple and convenient, safe and effective.