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目的对开放肾癌根治术以及腹腔镜肾癌根治术临床疗效以及安全性进行探讨。方法对无锡市第四人民医院2011年1月—2013年1月间收治的102例肾癌患者分别予以开放肾癌根治术(开放组)以及腹腔镜肾癌根治术(腹腔镜组)的相关临床资料进行对比分析。结果腹腔镜组患者平均手术切口长度、术中出血量、引流管插除时间、并发症发生率、住院天数等与开放组比较具有极大优势,其差异明显(P<0.05),具统计学意义。结论临床应用腹腔镜肾癌根治术较传统开放肾癌根治术具有极高的安全性,且还具有患者术后恢复快,并发症发生率低等优点,适于临床广泛推广。
Objective To investigate the clinical efficacy and safety of open radical nephrectomy and laparoscopic radical nephrectomy. Methods A total of 102 patients with renal cell carcinoma who underwent open radical nephrectomy (open group) and laparoscopic radical nephrectomy (laparoscopic group) were enrolled in the Fourth People’s Hospital of Wuxi from January 2011 to January 2013. Clinical data for comparative analysis. Results The mean operative incision length, intraoperative blood loss, drainage tube time, complication rate and length of hospital stay in laparoscopic group were significantly higher than those in open group (P <0.05) significance. Conclusion The clinical application of laparoscopic radical nephrectomy is more safe than traditional open radical nephrectomy. It also has the advantages of rapid recovery after operation, low complication rate, and is suitable for clinical popularization.