中国医学创新Issue(6)：22-24,25,4.DOI:10.3969/j.issn.1674-4985.2016.06.007
非阻断肾动脉腹腔镜肾部分切除术治疗T1a期肾癌的临床研究
Clinical Analysis of Laparoscopic Partial Nephrectomy for T1a Renal Cell Carcinoma without Clamping Renal Artery
郝彤彤 1孙建涛 1杨金辉 1康延杰1
作者信息
- 1. 郑州大学附属洛阳中心医院 河南 洛阳 471000
- 折叠
摘要
Abstract
Objective: To analyse the feasibility of laparoscopic partial nephrectomy for renal cell carcinoma of T1a stage without clamping of renal artery.Method:The clinical data of 68 patients with T1a renal cell carcinoma who were treated from February 2012 to May 2014 were retrospectively studied.All patients were divided to two groups:the patients of test group (n=37) recieved LPN without clamping of renal artery, and the the patients of control group recieved LPN with clamping of renal artery. Operation time, intraoperative blood loss, intraoperative and postoperative complications, and postoperative recovery of renal function were compared. Result:All the 68 cases were operated successfully, without a case of blood transfusion or transfer to open. The mean blood loss were (127.6±18.3) and (85.8±9.1) mL of the test group and the control group(P<0.05). The operation time were (96.2±12.3) and (91.4±10.1) min , the hospital stay were (8.0±2.1) and (7.5±2.3) d of the test group and the control group,there were no statistically significant differences (P>0.05). The GFR were (36.2±12.4) and (25.9±14.3)mL/min of the test group and the control group after 3 months of operation, there was statistically significant difference(P<0.05). There were no complications during and after surgery. Postoperative pathology showed the incisal margin were negative.All patients had normal renal function and had no tumor recurrence or metastasis followed up for 12-39 months.Conclusion:Laparoscopic partial nephrectomy without clamping of renal artery is safe and effective and can reduce the time of renal warm ischemia and protect the renal function.关键词
腹腔镜肾部分切除术/肾癌T1a期/非阻断肾动脉Key words
Laparoscopic partial nephrectomy/T1a renal cell carcinoma/Non clamping renal artery引用本文复制引用
郝彤彤,孙建涛,杨金辉,康延杰..非阻断肾动脉腹腔镜肾部分切除术治疗T1a期肾癌的临床研究[J].中国医学创新,2016,(6):22-24,25,4.
