經腹腔入路與腹膜后入路機器人輔助腎部分切除術治療腎背側腫瘤的圍手術期指標比較

打開文本圖片集

ABSTRACT：ObjectiveTo compare peritoneal indexes between transperitoneal approach and retroperitioneal approach of robot-assisted partial nephrectomy （RAPN） for dorsal renal tumors via transperitoneal and retroperitoneal approaches，thereby providing reference for clinical decision-making in managing such neoplasms.MethodsThe clinical data of renal cancer patients undergoing RAPN performed by the same surgeon at our hospital during 2017 and 2021 were retrospectively analyzed.A total of 80 patients with complete data of dorsal renal tumors were screened and divided into two groups based on the surgical approaches：50 cases in the transperitoneal group and 30 in the retroperitoneal group.The general information，intraoperative data，positive rate of pathological margins，recovery time of gastrointestinal functions，and incidence of complications were compared between the two groups.ResultsAll operations were successfully completed， and the surgical margins were negative.There were no statistically significant differences in warm ischemia time [17 （15，18） min vs.16 （14，19） min，P=0.772]，operation time [120 （105，149） min vs.124 （108，152） min，P=0.584]，intraoperative blood loss [100 （50，100） mL vs.100 （50，100） mL，P=0.814]，and incidence of postoperative complications （17% vs.24%，P=0.504） between the two groups （P>0.05）.The postoperative recovery time of gastrointestinal functions in the retroperitoneal group was significantly shorter than that in the transperitoneal group [2.0 （2.0，3.0） d vs.3.5 （3.0，4.0） d，P<0.001].ConclusionThe perioperative outcomes of patients undergoing RAPN via the retroperitoneal approach are similar to those via the transperitoneal approach.However，the retroperitoneal approach has an advantage of faster recovery of gastrointestinal functions.

摘要：目的比較經腹腔入路與腹膜后入路機器人輔助腎部分切除術（RAPN）治療腎背側腫瘤（R.E.N.A.L.評分為P）的圍手術期指標，為該類腫瘤的臨床決策提供參考。（剩余7917字）