标题：后腹腔镜下与开放性肾癌根治术治疗局限性肾癌疗效比较

      作者：董爱明 1，赖飞 2，曾建 1    （1.广汉市人民医院泌尿外科，四川 广汉 618300；2.成都市二医院泌尿外科，四川 成都 610017）

      卷次： 2017年28卷19期

      【摘要】 目的 比较后腹腔镜下与开放性肾癌根治术治疗局限性肾癌的临床疗效。方法 回顾性分析广汉市人民医院泌尿外科于2013年1月至2016年12月期间收治的63例局限性肾癌患者的临床资料，根据手术方式的不同分别纳入后腹腔镜组(n=31)与开放组(n=32)，比较两组患者的围手术期相关指标。结果 后腹腔镜组患者的手术时间、肠功能恢复时间及住院时间分别为(75.93±14.12) min、(2.24±0.79) d、(10.19±2.36) d，均短于开放组的(89.58±15.93) min、(3.15±1.01) d、(13.58±3.41) d，术中出血量为(103.62±25.85) mL，少于开放组的(153.55±36.76) mL，差异均有统计学意义(P<0.05)；后腹腔镜组患者的并发症发生率为9.68%，明显低于开放组的28.13%，差异有统计学意义(P<0.05)。结论 后腹腔镜肾癌根治术与传统的开放性肾癌根治术相比，具有创伤小、手术并发症发生率低及术后恢复快的优势。
      【关键词】 肾癌根治术；腹腔镜；入路；并发症
      【中图分类号】 R737.11 【文献标识码】 A 【文章编号】 1003—6350（2017）19—3219—03

Comparison of the clinical effect of retroperitoneal laparoscopic and open radial nephrectomy for localized renalcell carcinoma.
DONG Ai-ming 1, LAI Fei 2, ZENG Jian 1. 1. Department of Urology, Guanghan People's Hospital,Guanghan 618300, Sichuan, CHINA; 2. Department of Urology, Chendu Second People's Hospital, Chengdu 610017,Sichuan, CHINA
【Abstract】 Objective To compare the clinical effect of retroperitoneal laparoscopic and open radial nephrecto-my for localized renal cell carcinoma. Methods The clinical data of 63 patients with localized radial nephrectomy inDepartment of Urology in Guanghan People's Hospital from January 2013 to December 2016 were retrospectively ana-lyzed. The patients were assigned to receive retroperitoneal laparoscopic radial nephrectomy group (retroperitoneal lapa-roscopic group, n=31) and open radial nephrectomy group (open group, n=32). The perioperative related indexes of thetwo groups were compared. Results The operative time, intestinal function recovery time and hospitalization time inretroperitoneal laparoscopic group were (75.93±14.12) min, (2.24±0.79) d, (10.19±2.36) d, which was significantly short-er than (89.58±15.93) min, (3.15±1.01) d, (13.58±3.41) d in the open group. The blood loss was (103.62±25.85) mL,which was significantly less than (153.55±36.76) mL in open group, P<0.05. The complication rate of the retroperitoneallaparoscopic group was 9.68%, which was significantly lower than 28.13% of open group, P<0.05. Conclusion Com-pared with traditional open radical nephrectomy, retroperitoneal laparoscopic radical nephrectomy has the advantages ofless trauma, less complications and faster postoperative recovery.
      【Key words】 Radical nephrectomy; Laparoscopy; Approach; Complication·临床经验·doi:10.3969/j.issn.1003-6350.2017.19.041