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目的探讨腹腔镜肾部分切除术在治疗肾肿瘤方面的临床效果。方法回顾性分析行腹腔镜肾部分切除术(腹腔镜组,18例)和开放肾部分切除术(开放组,23例)患者的临床资料,对比分析两种方法的临床效果。结果与开放组相比,腹腔镜组患者的术中出血量、进食时间、住院时间均显著较少,组间比较差异有统计学意义(P<0.05)。术后两组患者引流管留置的时间相比,差异无统计学意义(P>0.05);腹腔镜组与开放组的手术时间、热缺血时间相比,差异有统计学的意义(P<0.05)。结论腹腔镜肾部分切除术中患者的失血量较少、术后进食较快、住院时间较短,但是手术时间及肾热缺血时间较长。
Objective To investigate the clinical effect of laparoscopic partial nephrectomy in the treatment of renal tumors. Methods The clinical data of patients undergoing laparoscopic partial nephrectomy (laparoscopic group, 18 cases) and open partial nephrectomy (open group, 23 cases) were retrospectively analyzed. The clinical effects of the two methods were compared. Results Compared with the open group, the intraoperative blood loss, eating time and hospitalization time in the laparoscopic group were significantly less than those in the open group (P <0.05). There was no significant difference in the duration of indwelling drainage tube between the two groups (P> 0.05). There was significant difference between laparoscopic group and open group in operative time and warm ischemia time (P < 0.05). Conclusion Laparoscopic partial nephrectomy patients with less blood loss, postoperative fasting, shorter hospital stay, but the operation time and renal ischemia longer.