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目的分析T1a期肾肿瘤使用后腹腔镜肾部分切除术的治疗疗效。方法对照组行传统根治性肾切除术,观察组行后腹腔镜肾部分切除术,对比两者临床疗效。结果两组均手术成功,观察组的平均手术时间、术中阻断肾动脉时间、术中出血量、住院时间、引流时间及术后并发症发病率均优于对照组,组间差异有统计学意义。标本切缘均为阴性,无包膜和周围组织侵犯。术后随访3-12个月复查CT,无肿瘤局部复发和远处转移。结论后腹腔镜肾部分切除术临床效果显著,创伤小,恢复快,可保留患者部分肾单位,值得临床推广。
Objective To analyze the therapeutic effect of laparoscopic partial nephrectomy after T1a renal neoplasm. Methods The control group received conventional radical nephrectomy, and the observation group received laparoscopic partial nephrectomy. The curative effect was compared between the two groups. Results The operation of the two groups were successful. The mean operative time, intraoperative renal artery occlusion, intraoperative blood loss, hospitalization time, drainage time and incidence of postoperative complications in the two groups were all better than those in the control group Significance of learning. All specimens were negative margin, non-enveloped and surrounding tissue violations. The patients were followed up for 3-12 months for CT examination. No local tumor recurrence or distant metastasis was found. Conclusions Retroperitoneal laparoscopic partial nephrectomy has significant clinical effect, small trauma and fast recovery, which can retain some nephrons in patients and is worthy of clinical promotion.