临床误诊误治Issue(6)：32-35,4.DOI:10.3969/j.issn.1002-3429.2015.06.015
肾肿瘤后腹腔镜肾部分切除术转手助腹腔镜手术效果观察
Efficacy Observation of Hand-Assisted Laparoscopic Converted from Retroperitoneal Laparoscopy Partial Nephrectomy
摘要
Abstract
Objective To observe the clinical results of hand-assisted laparoscopic partial nephrectomy converted from retroperitoneal laparoscopy. Methods During 2009 Feb. And 2013 Feb. , 27 patients underwent retroperitoneal lapa-roscopy partial nephrectomy, and operative style conversion for adhesion, bleeding, complex tumor location, etc. Randomly divided into two groups, 14 cases were converted to hand-assisted laparoscopic, and 13 to open surgeries. The tumor sizes , surgery time, loss of blood, incision length, off bed time, postoperative hospital stay, and renal ischemia time, prognosis, and concentration of CRP and IL-6 were compare. Results All the 27 operations were performed successfully. The surgery time, bleeding amount, incision length and off bed time of hand-assisted laparoscopic group were all less than that of open sur-gery group(P<0. 01 or P<0. 05);but renal ischemia time was longer than that of open surgery group, and the differences showed no statistical significance( P>0. 05 ) . The concentration of CRP and IL-6 on postoperative 1 d and 3 d of the two groups were significantly higher than the preoperative level(P<0. 01), but The concentration of CRP and IL-6 post-operation of hand assisted laparoscopic group were significantly lower than that of open surgery group (P<0. 01). In the open operation group there was 1 case of vena cava injury, and after intraoperative repair, patients of two groups had no complications after. Two groups were followed up for 10-58 months, no recurrence was found. Conclusion Retroperitoneal laparoscopy partial ne-phrectomy converted into hand-assisted laparoscopic is less invasive with less loss of blood but a quicker recovery.关键词
肾肿瘤/腹腔镜检查/肾部分切除术/手助腹腔镜检查Key words
Kidney neoplasm/Laparoscopy/Partial nephrectomy/Hand-Assisted laparoscopy分类
医药卫生引用本文复制引用
赵国斌,李向东,唐玉红,孔雁萍,张秀梅,苗文隆,凌海滨,张潮..肾肿瘤后腹腔镜肾部分切除术转手助腹腔镜手术效果观察[J].临床误诊误治,2015,(6):32-35,4.基金项目
河北省医学科学研究重点课题计划指令项目（ ZL20140296) （）
张家口市科学技术与发展指导计划项目（1321124D) （）
河北北方学院青年基金项目（Q201126) （）
