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目的比较开放与后腹腔镜肾囊肿去顶术的临床价值。方法对68例开放肾囊肿去顶术和102例后腹腔镜肾囊肿去顶术的临床资料进行比较,统计分析两种术式在手术时间、术中平均出血量、术后住院天数、下床时间、肠蠕动恢复时间等的差别。结果所有手术均获成功。开放手术组和后腹腔镜组手术时间分别为(71·88±3·57)min、(50·22±1·74)min;术中出血量分别为(53·13±5·12)ml、(17·25±1·22)ml;术后下床时间分别为(95·00±4·17)h、(39·86±1·74)h;术后住院天数分别为(9·83±0·33)d、(5·21±0·18)d。两组间比较差异有显著性(P<0·01);肠蠕动恢复时间分别为(42·75±2·72)h、(36·11±1·73)h,两组间比较差异有显著性(P<0·05)。结论后腹腔镜肾囊肿去顶术在手术时间、术中出血量和术后下床时间、肠蠕动恢复时间等方面明显优于开放手术。
Objective To compare the clinical value of open and retroperitoneoscopic renal cyst debridement. Methods The clinical data of 68 cases of open renal cyst debridement and 102 cases of retroperitoneal laparoscopic renal cyst debridement were compared. The operative time, mean intraoperative blood loss, postoperative hospital stay, out of bed Time, bowel movement recovery time difference. Results All the operations were successful. The operative time of the open surgery group and the retroperitoneal laparoscopic group were (71.88 ± 3.57) min and (50.22 ± 1.74) min respectively. The intraoperative blood loss were (53.13 ± 5.12) ml , (17.25 ± 1.22) ml respectively. The time to get out of bed after operation was (95.00 ± 4.17) h and (39.86 ± 1.74) h, respectively. The days after hospitalization were (9 · 83 ± 0 · 33) d, (5 · 21 ± 0 · 18) d. The difference between the two groups was significant (P <0.01), and the recovery time of peristalsis was (42.75 ± 2.72) h and (36.11 ± 1.73) h, respectively Significance (P <0.05). Conclusions Retroperitoneal laparoscopic removal of renal cysts is superior to open surgery in terms of operation time, intraoperative blood loss, time to bed, and recovery of bowel movements.