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目的不同入路腹腔镜手术治疗大体积肾癌的临床对比分析。方法在我院治疗的患者中选取2014年5月-2015年8月收治并已确诊的大体积肾癌患者72例,并由医生根据患者的病情分为两组,对照组35例,实验组37例;对照组实施经腹入路手术,实验组实施经腹膜后入路手术,并对两组患者的各项手术情况进行比较。结果两组患者的中转开放手术例数、术中出血量、住院时间、入ICU例数并无统计学意义,P>0.05;此外,而对照组患者的手术时间为208.72±24.13(t/min)明显高于实验组患者的150.21±17.45(t/min),P<0.05;实验组患者的病理检测T分明显比对照组低,两组数据的对比有差异性,有统计学意义,P<0.05。结论腹腔手术治疗大体积肾癌安全性较强,可以根据不同医师的经验和患者的病情选择合适的手术方法。
Objective To compare the clinical results of laparoscopic surgery for large volume renal cell carcinoma by different ways. Methods Seventy-two patients with massive renal cell carcinoma admitted to our hospital from May 2014 to August 2015 were selected and divided into two groups according to the patient’s condition: 35 cases in the control group, 37 cases. The control group was operated by transabdominal approach, the experimental group was operated by retroperitoneal approach, and the operation conditions of the two groups were compared. Results There was no significant difference between the two groups in the number of open surgery, the intraoperative blood loss, the length of hospital stay, and the number of ICU admission (P> 0.05). In addition, the operation time of the control group was 208.72 ± 24.13 (t / min ) Was significantly higher than the experimental group of 150.21 ± 17.45 (t / min), P <0.05; the experimental group of patients with pathological T test was significantly lower than the control group, the two groups of data were statistically significant, P <0.05. Conclusion Abdominal operation for the treatment of massive renal cell carcinoma is safe and can be performed according to the experience of different physicians and the patient’s condition.