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目的评价经脐单孔腹腔镜联合经尿道电切行肾盂癌根治术的可行性及临床价值。方法回顾性分析该院2011年1月-2011年5月行肾盂癌根治术的患者临床资料,其中,对照组为开放肾盂切除手术组,共60例,治疗组为经脐单孔腹腔镜联合经尿道电切行肾盂癌组,共62例。观察两组的手术时间、术中出血量、术后引流量、术后疼痛指数(VAPS)与术后住院时间,同时观察两组在治疗后出现的相关并发症,包括发热、血尿及感染等。结果治疗组的术中出血量、术后引流量与术后住院时间明显少于对照组(P<0.05)差异有显著性;术后治疗组发热、血尿及感染等总体并发症发生率明显少于对照组(P<0.05)差异有显著性。结论经脐单孔腹腔镜联合膀胱电切镜行肾盂癌根治术是一种可靠的手术方法,与传统开放手术相比,具有出血少、恢复快、术后并发症少及微创且安全等优点。
Objective To evaluate the feasibility and clinical value of transthoracic laparoscopy combined with transurethral resection of renal pelvis cancer undergoing radical operation. Methods The clinical data of patients undergoing radical resection of renal pelvis from January 2011 to May 2011 in our hospital were retrospectively analyzed. Among them, 60 cases were treated by open pyeloplasty in the control group, Transurethral resection of renal pelvis cancer group, a total of 62 cases. The operation time, intraoperative blood loss, postoperative drainage volume, postoperative pain index (VAPS) and postoperative hospital stay were observed. The complications, including fever, hematuria and infection in both groups after treatment were observed . Results The intraoperative blood loss, postoperative drainage and postoperative hospital stay were significantly less than those in the control group (P <0.05). The incidences of postoperative fever, hematuria and infection were significantly lower In the control group (P <0.05) the difference was significant. Conclusions Transumbilical single-hole laparoscopic combined with resectoscope of bladder nephroureterectomy is a reliable surgical method, compared with the traditional open surgery, with less bleeding, rapid recovery, less postoperative complications and minimally invasive and safe advantage.