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| Influence of laparoscopic and open radical nephrectomy for the effects, complications and survival rate of renal carcinoma |
| TANG Xianfu |
| Department of Urology Surgery, Guang′an People′s Hospital, Sichuan Province, Guang′an 638500, China |
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Abstract Objective To explore the influence of laparoscopic and open radical nephrectomy for the effects, complications and survival rate of renal carcinoma. Methods One hundred patients with renal carcinoma admitted to Guang′an People′s Hospital of Sichuan Province from March 2013 to March 2014 were selected as the study objects and divided into observation group (50 cases) and control group (50 cases) by random number table method. The observation group was treated with laparoscopic radical nephrectomy, the control group was treated with traditional open radical nephrectomy. The clinical effect, main postoperative complications and survival rates within 3 years of the two groups were observed. Results The length of surgical incision in the observation group was significantly shorter than that of control group, the intraoperative blood loss was less than that of control group, and the recovery time of intestinal function, leaving bed time, hospital stay after operation were all shorter than those of control group, the differences were all statistically significant (P ＜ 0.05). The incidence of postoperative complications in the observation group was significantly lower than that of control group (P ＜ 0.05). The postoperative 1-year survival rate of the observation group was higher than that of control group, but the difference was not statistically significant (P ＞ 0.05). The postoperative 2-year, 3-year survival rates were significantly higher than those of control group (P ＜ 0.05). Conclusion Laparoscopic radical nephrectomy has the advantages of simple operation, small pain and remarkable efficacy, which can significantly reduce surgical complications and improve the long-term survival rate of patients. It's worthy of clinical promotion.
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