Comparison of outcome indicators between transabdominal and retroperitoneal laparoscopic radical nephrectomy for large volume renal university carcinoma in a single center
Comparison of outcome indicators between transabdominal and retroperitoneal laparoscopic radical nephrectomy for large volume renal university carcinoma in a single center
Objective:To compare the efficacy of laparoscopic surgery through transabdominal and retroperitoneal approaches in the treatment of large volume renal cell carcinoma.Methods:Sixty patients with large volume renal cell carcinoma were selected and divided into a transabdominal surgery group(transabdominal group)and a retroperitoneal surgery group(retroperitoneal group).The clinical indicators and incidence of postoperative complications of patients were compared between the two groups.Results:The operation time,postoperative ventilation time,and postoperative hospital stay in the transabdominal group were shorter than those in the transabdominal group,the postoperative 24-hour pain score was lower than that in the transabdominal group,but the amount of bleeding was higher than that in the transabdominal group,and the differences were statistically significant(P＜0.05 to P＜0.01).There wasno statistically significant difference between postoperative complication between the two groups(P＞0.05).Conclusions:Both surgical methods are safe and effective in treating large volume renal cell carcinoma.But the transabdominal approach has a shorter surgical time,earlier postoperative ventilation,faster recovery,and is worth choosing.
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