论文部分内容阅读
目的对比分析经腹膜后与经腹2种腹腔镜入路下肾门旁肿瘤的肾部分切除术的术后情况。方法回顾性分析自2013年1月至2016年12月于本院行腹腔镜下肾部分切除术的38例肾门旁肿瘤患者的临床资料,根据腹腔镜入路方式不同将患者分为经腹膜后入路组(23例)和经腹入路组(15例),对两组患者手术时间、术中出血量、热缺血时间、术后出血、术后尿漏、手术切缘阳性、术后通气时间、平均住院天数等因素进行对比分析。结果两组患者的手术时间、术中出血量、平均热缺血时间、术后出血、术后尿漏、手术切缘阳性比较均无显著差异(P<0.05);但经腹膜后入路组患者术后通气时间和平均住院时间均短于经腹入路组(P<0.05)。结论肾门旁肿瘤腹腔镜肾部分切除经腹膜后和经腹腔路径均是可行的,但与经腹入路相比,经腹膜后入路患者术后肠道恢复更快,更有利于快速康复。
Objective To compare and analyze the postoperative results of partial nephrectomy with transabdominal and peritoneal laparoscopic radical nephroureterectomy. Methods The clinical data of 38 patients with renal cell carcinoma of the kidney in our department undergoing laparoscopic partial nephrectomy from January 2013 to December 2016 were retrospectively analyzed. According to the laparoscopic approach, the patients were divided into transperitoneal (23 cases) and transabdominal approach group (15 cases). The operation time, intraoperative blood loss, warm ischemia time, postoperative bleeding, postoperative urine leakage, positive surgical margins, Postoperative ventilation time, the average length of stay in hospital and other factors were analyzed. Results There was no significant difference in operation time, intraoperative blood loss, average warm ischemia time, postoperative bleeding, postoperative urine leakage and surgical margin positive (P <0.05). However, the retroperitoneal approach group The duration of postoperative ventilation and the average length of stay in patients were shorter than those in the transabdominal approach (P <0.05). Conclusions Laparoscopic partial nephrectomy of renal pelvic tumors is feasible with retroperitoneal and transperitoneal approach. However, compared with transabdominal approach, retroperitoneal approach results in faster postoperative intestinal recovery and is more conducive to rapid recovery .