腹腔镜外科杂志2012，Vol.17Issue(2)：103-106,4.
选择性肾动脉阻断与全阻断行后腹腔镜肾部分切除术的对照研究
Comparison of selectivity renal artery interrupted and renal artery interrupted retroperitoneal laparoscopic partial nephrectomy on small renal carcinoma
高健刚 1邱志磊 1侯四川 1孙小庆 1祝海 1白鑫 1朱磊一 1刘之俊 1贾勇 1翁博文1
作者信息
- 1. 青岛市市立医院东院,山东青岛,266071
- 折叠
摘要
Abstract
Objective: To compare the efficacy and safety on renal carcinoma with selectivity renal artery interrupted and renal artery interrupted retroperitoneal laparoscopic partial nephrectomy ( RLPN ) . Methods: The data of 79 patients with renal carcinoma who underwent retroperitoneal laparoscopic partial nephrectomy from Feb. 2008 to May 2011 in our hospital was analyzed retrospectively. The tumor diameter was within 4cm. The patients aged from 25 to 72 were divided into 2 groups: selectivity renal artery interrupted group with 42 cases and renal artery interrupted group with 37 cases. The differences of renal pedical clamping time, operation time, blood loss, postoperative hospital stay and the incidence of complications between the two groups were compared and analyzed. Results: The renal pedical clamping time,operation time of selectivity renal artery interrupted and renal artery interrupted group were(22. 80 ±4. 58) min and (28. 12 ±4. 31) min, (110. 25 ± 14. 76) min and (96. 10 ± 15. 40) min respectively. There was statistical significance between the two groups. The hospital stay, blood loss and intraoperative blood transfusion rate of selectivity renal artery interrupted and renal artery interrupted group were (8. 80 ±1.51) d and (9.02 ± 1. 69) d, (107. 0 ±73. 99) ml and ( 130. 20 ±89. 51) ml,2.4%(l/ 42) and 2.1% ( 1/37). There was no significant difference between them(P＞0. 05) . The rates of postoperative complication in selectivity renal artery interrupted and renal artery interrupted group were 2. 4% (1/42) and 2. 7% (1/37) ,there was no significant difference between them(P＞0. 05). The follow-up of the two groups was 6-48 months without recurrence and metastasis. Conclusions: As for small kidney cancer, selectivity renal artery interrupted operation has the advantage of extended renal pedical clamping time which will help to protect normal nephrons, the recovery of renal function is better. It has longer operation time due to operating conditions and technology, but bleeding was not significantly increased. Selectivity renal artery interrupted retroperitoneal laparoscopic partial nephrec-tomy is worthy of promotion for qualified hospital.关键词
肾肿瘤/肾部分切除术/腹腔镜检查/肾动脉阻断/对照研究Key words
Renal neoplasms/ Partial nephrectomy/Laparoscopy/ renal artery interrupted/Comparative study分类
医药卫生引用本文复制引用
高健刚,邱志磊,侯四川,孙小庆,祝海,白鑫,朱磊一,刘之俊,贾勇,翁博文..选择性肾动脉阻断与全阻断行后腹腔镜肾部分切除术的对照研究[J].腹腔镜外科杂志,2012,17(2):103-106,4.
