河北医学2016，Vol.22Issue(11)：1794-1797,4.DOI:10.3969/j.issn.1006-6233.2016.11.014
开放性与腹腔镜下肾癌根治术治疗局限性肾癌的临床观察
Clinical Observation of Opening Laparoscopic Radical Correction for Kidney Cancer in Treatment of Localized Kidney Cancer
摘要
Abstract
Objective:To compare the clinical efficacy between open radical correction and laparoscop-ic in treatment of localized kidney cancer. Methods:A total of 60 eligible patients were selected and randomly divided into observation group and control group, with 30 patients in each group. The control group used open radical correction for kidney cancer, while the observation group used laparoscopic one, and the perioperative indexes were compared. Results:Before the surgery, the patients of the two groups had insignificantly differ-ent hemoglobin and creatinine levels (P>0.05); on 3d after the surgery, the observation group had signifi-cantly higher hemoglobin level ( P<0.05) . The different level of creatinine of two groups had no statistical sig-nificance ( P>0.05) . Compared with the control group. The observation group had significantly longer operative time and significantly better intraoperative blood loss, postoperative time to passage of gas by anus, postopera-tive time to out-of-bed activity, total drainage volume of nephridial pit, and postoperative length of stay than the control group ( all P<0.05) . The incidence of complications of the observation group was 13.33%, and was significantly lower than that of the control group (23.33%) (P<0.05). Conclusion:Laparoscopic radical cor-rection for kidney cancer has advantages of smaller wound, less blood loss, and rapider recovery, and is one of safe and effective therapies for localized kidney cancer.关键词
腹腔镜/局限性肾癌/肾癌根治术/开放性手术Key words
Laparoscope/Localized kidney cancer/Radical correction for kidney cancer/Open operation引用本文复制引用
温元毅..开放性与腹腔镜下肾癌根治术治疗局限性肾癌的临床观察[J].河北医学,2016,22(11):1794-1797,4.基金项目
四川省资阳市科技支撑计划项目,(编号:2014-017) （编号:2014-017）
