Analysis of the Efficacy and Postoperative Recurrence Risk Factors of Posterior Laparo-scopic-assisted Small-incision Kidney Unit-preserving Surgery in Patients with Renal Cancer
Objective To evaluate the efficacy of laparoscopic-assisted minimally invasive nephron-sparing surgery in treating renal cancer patients and identify postoperative recurrence risk factors.Methods A total of 89 renal cancer patients were selected and divided into 2 groups based on the surgical approach.In the study group,40 patients underwent laparoscopic-assisted minimally invasive nephron-sparing surgery,while in the control group,49 patients underwent traditional laparoscopic radical ne-phrectomy.The clinical outcomes of the 2 groups were compared.Followed up for 2 years,postoperative recurrence and influence factors were analyzed.Results The study group showed better intraoperative blood loss,postoperative drainage,and other indica-tors compared to the control group,but the duration of surgery was longer in the study group(P＜0.05).There were no significant differences in preoperative renal function indicators between the 2 groups(P＞0.05),but postoperative renal function indicators improved in both groups compared to preoperative levels,with better results in the study group(P＜0.05).The incidence of com-plications in the study group(7.5％)was significantly lower than that in the control group(24.4％)(P＜0.05);age ≥65 years,hematuria,smoking,and lymph node metastasis were identified as risk factors for postoperative recurrence in renal cancer patients(P＜0.05).Conclusion Laparoscopic-assisted minimally invasive nephron-sparing surgery demonstrates superior efficacy in treating renal cancer patients,significantly improves renal function,reduces the incidence of postoperative complications,but has no impact on postoperative recurrence in renal cancer,thus warranting clinical application.
Posterior laparoscopic-assisted small incisionPreserved renal unitRenal cancerOutcomePostoperative re-currenceRisk factors
万方数据
维普
