摘要
目的探讨经腹膜后途径腹腔镜下肾部分切除术中脂肪囊修复对患者快速康复的影响。方法选取2018年9月至2020年9月我科行经腹膜后途径腹腔镜下肾部分切除术的患者66例,其中37例术中不缝合脂肪囊(对照组),29例缝合脂肪囊(观察组),比较两组患者术中出血量、肾热缺血时间、术后恢复天数、引流管留置时间、下床活动时间、术后消化道排气时间、住院天数等情况。结果两组的年龄、BMI、性别比例、肿瘤位置及RENAL评分上差异无统计学意义(P>0.05),而在术后恢复时间观察组较实验组明显降低(P<0.05),引流管留置时间、下床活动、术后消化道排气及住院天数等方面,观察组较对照组明显缩短(P<0.05),而术中出血量及肾热缺血时间上差异无统计学意义(P>0.05)。结论经腹膜后途径腹腔镜下肾部分切除术中修复脂肪囊可降低术后出血风险,有利于患者的快速康复。
Objective To explore the effect of repairing the perirenal adipose capsule during retroperitoneal laparoscopic partial nephrectomy on the rapid recovery of patients.Methods A total of 66 patients who underwent retroperitoneal partial nephrectomy in our department from September 2018 to September 2020 were selected.Among them,the perirenal adipose capsule in 37 cases(control group)wasn't satured and 29 cases sutured(observation group).The blood loss and renal warm ischemia time during the operation of the two groups were compared,as well as the postoperative recovery days,drainage tube indwelling time,out-of-bed activity time,postoperative gastrointestinal exhaust time,and hospitalization days and so on.Results The observation group has no significant difference in age,body mass index(BMI),gender tumor location and RENAL score compared with the control group(P>0.05).However,the postoperative recovery time,the drainage tube indwelling time duration of getting out of bed,postoperative gastrointestinal exhaust and hospitalization,in the observation group were significantly shorter than the control group(P<0.05),but there was no significant difference in intraoperative blood loss and renal warm ischemia time(P>0.05).Conclusion Retroperitoneal laparoscopic partial nephrectomy repairing perirenal adipose capsule can reduce the the risk of bleeding after operation,and will be beneficial to the rapid recovery for patients.
作者
钱洲楠
周留正
唐爱国
徐强
朱贵如
马克钧
Qian Zhounan;Zhou Liuzheng;Tang Aiguo;Xu Qiang;Zhu Guiru;Ma Kejun(Department of Urology,the Affiliated Hospital of Jiangsu University,212000 Zhenjiang,China)
出处
《中华腔镜泌尿外科杂志（电子版）》
2021年第6期475-477,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
腹腔镜
肾部分切除术
肾周脂肪囊
快速康复
Laparoscopy
Partial nephrectomy
Perirenal adipose capsule
Rapid recovery
