|
|
|
| Effects of Laparoscopic Nephron-Sparing Tumor Resection on Renal Function and Prognosis in Patients With Stage T2 Renal Cancer |
| Liu Lin, Sha Wen, Ji Chuanbiao, Lu Caiguang, Ma Pengde, Wu Xinwei |
| Department of Urology,Puyang Oilfield General Hospital,Puyang 457000,China |
|
|
|
|
Abstract Objective To observe the effects of laparoscopic nephron-sparing surgery（LNSS） on renal function and prognosis of patients with stage T2 renal cancer.Methods A total of 70 patients with stage T2 renal cancer treated were selected as the research subjects,and they were divided into observation group and control group according to the random number table method,with 35 cases in each group.Control group underwent open surgery,and observation group underwent LNSS.The changes of renal function indexes [urea nitrogen（BUN）,blood creatinine（SCr）] were compared between the two groups before surgery and at 7d after surgery.The surgical status（operative time,postoperative drainage tube indwelling time,postoperative hospital stay）,occurrence of complications within 7d after surgery and prognosis（recurrence rate,survival rate） at 1 year after surgery were analyzed in the two groups.Results At 7d after surgery,the BUN and SCr in the two groups were significantly improved compared with those before surgery,and the indexes in observation group were significantly lower than those in control group（P<0.05）.The operative time,postoperative drainage tube indwelling time and postoperative hospital stay in observation group were significantly lower than those in control group（P<0.05）.Within 7d after surgery,there were no statistically significant differences in the incidence rates of postoperative complications and the overall incidence rate（P>0.05）.At 1 year after surgery,there were no statistically significant differences in the recurrence rate and survival rate between the two groups（P>0.05）.Conclusion LNSS for patients with stage T2 renal cancer is beneficial to the postoperative recovery,and is beneficial to the recovery of renal function and the improvement of prognosis.
|
|
Received: 04 March 2020
|
|
|
|
|
|
[1] 刘曙正,郭兰伟,曹小琴,等.中国2014年肾癌发病与死亡分析[J].中华流行病学杂志,2018,39(10):1346-1350.
[2] 印小毛,王建丰,黄吉炜,等.基于SEER数据库和仁济医院数据库分析亚裔人群早发性肾癌的病理特征[J].中华泌尿外科杂志,2019,40(5):380-384.
[3] 闫若东,任山,隋文印,等.TMEM45A在肾透明细胞癌中的表达及作用机制研究[J].实用肿瘤学杂志,2019,33(4):317-322.
[4] 谢圣陶,陈广瑜,魏乔红,等.后腹腔镜根治性肾切除术与开放手术治疗T2期肾癌的临床疗效和安全性比较[J].国际泌尿系统杂志,2018,38(06):926-928.
[5] 郑府,陈洪波,胡晓晖,等.腹腔镜与开放保留肾单位手术治疗囊性肾癌的比较[J].国际泌尿系统杂志,2018,38(3):372-374.
[6] 薛智淞,向宸辉,刘小勇,等.微创肾单位保留术对肾癌患者免疫相关指标的影响[J].西部医学,2019,31(8):1206-1209.
[7] 张群会,何旭革,刘宗林.非阻断肾动脉腹腔镜肾部分切除术治疗T1~T2期肾癌[J].局解手术学杂志,2017,26(1):33-36. |
| [1] |
Guo Nan. Analysis of Clinical Features and Prognosis of 46 Children Patients With Chronic Renal Failure[J]. journal1, 2021, 41(5): 31-33. |
| [2] |
Jiang Dongya. The Significance of Ultrasonic Aspect Ratio in Papillary Rhyroid Carcinoma With Different Maximum Diameters[J]. journal1, 2021, 41(5): 38-40. |
| [3] |
. [J]. journal1, 2021, 41(5): 62-63. |
| [4] |
. [J]. journal1, 2021, 41(5): 86-86. |
| [5] |
. [J]. journal1, 2021, 41(5): 137-138. |
| [6] |
. [J]. journal1, 2021, 41(5): 122-123. |
|
|
|
|
2021, Vol. 41 
