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目的探讨腹膜后腹腔镜下肾部分切除术和根治性肾切除术治疗小肾癌的临床疗效。方法将35例小肾癌患者依据手术治疗方式的不同分为A组(腹膜后腹腔镜下肾部分切除术组)20例和B组(腹膜后腹腔镜下根治性肾切除术组)15例。结果两组小肾癌患者手术时间、术中出血量、住院时间、术前和术后24h肌酐、1年、2年、3年生存率差异均无统计学意义(P>0.05)。结论腹膜后腹腔镜下肾部分切除术与根治性肾切除术治疗小肾癌无明显差异,效果较好,值得临床推广应用。
Objective To investigate the clinical effect of retroperitoneal laparoscopic partial nephrectomy and radical nephrectomy on small renal cell carcinoma. Methods 35 cases of small renal cell carcinoma patients were divided into group A (retroperitoneal laparoscopic partial nephrectomy group) 20 cases and group B (retroperitoneal laparoscopic radical nephrectomy group) 15 cases according to the different surgical treatment methods . Results There was no significant difference in operative time, intraoperative blood loss, hospitalization time, preoperative and postoperative 24h creatinine, 1 year, 2 years and 3 years survival rate between two groups of patients with small renal cell carcinoma (P> 0.05). Conclusions Retroperitoneal laparoscopic partial nephrectomy and radical nephrectomy for the treatment of small renal cell carcinoma no significant difference, the effect is better, worthy of clinical application.