Abstract: Objective To investigate the effect of open and minimally invasive partial nephrectomy (PN) on solitary kidney tumor. Methods 49 patients with solitary kidney tumor underwent PN from January 2012 to August 2016 were enrolled for the study and included 38 males and 11 females. Their average age was (62.5±11.0) years, ranged from 38 to 80 years. All cases were divided into the routine laparoscopic group (n=15), the robot-assisted laparoscopic group (n=11) and the open group (n=23). The baseline data and perioperative data were compared among three groups. All patients were followed up regularly, observing the changes of serum creatinine (Scr), glomerular filtration rate estimation (GFR) and hemoglobin (Hb)Results There were no significant differences in baseline data, operation time, rates of blood transfusion and complications among three groups (P>0.05). All patients successfully underwent operation, and there were significant differences in intraoperative blood loss, warm ischemia time (WIT) and time of hospitalization among three groups (P<0.05). Specifically, the order of intraoperative blood loss, WIT and time of hospitalization was that the open group > the routine laparoscopic group > the robot-assisted laparoscopic group; the routine laparoscopic group > the robot-assisted laparoscopic group and the open group; the open group > the laparoscopic group > the robot-assisted laparoscopic group. All patients were followed up for 5～61 months whose median follow-up time was 23.5 months. A total of 3 cases (6.1%) were found with local recurrence, no one with metastasis, and tumor free survival time was (22.3±15.5) months. There were no significant differences in the local recurrence rate, Scr, GFR and Hb before and after operation among three groups (P>0.05). Conclusions Compared with traditional open and routine laparoscopic PN, robot-assisted laparoscopic surgery has the advantages of less intraoperative bleeding, shorter WIT and faster postoperative recovery, which is helpful to protect the residual renal function and has the best effect.
宋文斌，朱国栋，吴大鹏，杨志尚. 开腹和微创肾部分切除术对孤立肾肾癌的应用效果比较[J]. 中国现代手术学杂志, 2018, 22(2): 90-94.
SONG Wen-bin. Comparison of the Effects of Open and Minimally Invasive Partial Nephrectomy on Solitary Kidney Tumor. Chinese Journal of Modern Operative Surgery, 2018, 22(2): 90-94.
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