Comparison on the Effects of Transabdominal and Retroperitoneal Laparoscopic Partial Nephrectomy in the Treatment of Renal Tumors
Objective To compare the clinical effects of transabdominal and retroperitoneal laparoscopic partial nephrectomy in the treatment of renal tumors.Methods 86 patients with renal tumors undergoing laparoscopic partial nephrectomy in our hospital from January 2020 to December 2022 were selected and divided into retroperitoneal group(n=43)and transabdominal group(n=43)according to different operation approaches.The perioperative indicators,incidence of complications,and quality of life were compared between the two groups.Results The operation time,intestinal recovery time and hospitalization time of the retroperitoneal group were shorter than those of the transabdominal group,and the intraoperative blood loss was lower than that of the transabdominal group(P＜0.05).The incidence of postoperative complications in the retroperitoneal group was 6.98％,lower than 23.26％in the transabdominal group(P＜0.05).1 month after operation,the WHOQOL-BREF scores of the two groups increased,and the WHOQOL-BREF score of the retroperitoneal group was higher than that of the transabdominal group(P＜0.05).Conclusions Compared with transabdominal approach,retroperitoneal laparoscopic partial nephrectomy has less operation trauma,and can accelerate the postoperative recovery of patients with renal tumors,significantly reduce the incidence of complications and improve the quality of life.
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