经腹腔和腹膜后途径腹腔镜肾部分切除术治疗后 CT1 期肾肿瘤：一项回顾性、两中心、对照研究。
Transperitoneal and retroperitoneal approach in laparoscopic partial nephrectomy for posterior cT1 renal tumors: A retrospective, two-centers, comparative study.
机构信息
Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens.
出版信息
Arch Ital Urol Androl. 2020 Oct 2;92(3). doi: 10.4081/aiua.2020.3.230.
OBJECTIVES
To compare perioperative, oncological and functional outcomes of Laparoscopic Transperitoneal Partial Nephrectomy (LTPN) and Retroperitoneal Laparoscopic Partial Nephrectomy (LRPN) for posterior, cT1 renal masses (RMs).
MATERIALS AND METHODS
Databases of two urologic institutions applying different laparoscopic surgical approaches on posterior cT1 RMs between June 2016 and November 2018 were retrospectively evaluated. Data on patient demographics, perioperative data and tumor histology were collected and further analyzed statistically.
RESULTS
Each group consisted of 15 patients. Baseline characteristics were comparable in each group. When compared to LTPN, LRPN was associated with significantly shorter operative time (OT) (115 min versus 199 min, p < 0.05). No significant differences were detected in the other outcomes.
CONCLUSIONS
LRPN is associated with a significantly shorter OT compared to LTPN for posterior cT1 RMs. Both surgical approaches are safe, feasible and credible, demonstrating optimal results.
目的
比较腹腔镜经腹腔部分肾切除术（LTPN）和后腹腔镜部分肾切除术（LRPN）治疗后位 cT1 肾肿瘤（RM）的围手术期、肿瘤学和功能结果。
材料和方法
回顾性分析了 2016 年 6 月至 2018 年 11 月期间，两家泌尿科机构应用不同腹腔镜手术方法治疗后位 cT1 RM 的数据库。收集了患者人口统计学、围手术期数据和肿瘤组织学等数据，并进行了统计学分析。
结果
每组各有 15 例患者。每组的基线特征均相似。与 LTPN 相比，LRPN 的手术时间（OT）明显更短（115 分钟比 199 分钟，p<0.05）。其他结果无显著差异。
结论
对于后位 cT1 RM，LRPN 与 LTPN 相比，OT 明显更短。两种手术方法均安全、可行且可靠，均能取得理想的效果。
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