Comparison of the influence on stress reaction of laparoscopic and open radical nephrectomy for renal carcinoma
Cheng,Wei1,2,Liu,Xiuheng1,Chen,Ming2,Zhang,Jilai2
1.Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China; 2.Department of Urology, First Hospital of Danjiangkou City Danjiangkou
Abstract：To discuss the clinical influence of on stress reaction of laparoscopic and open radical nephrectomy for renal carcinoma. Methods: 66 patients with renal carcinoma were randomly divided into the observation group (n=33) and the control group (n=33) The observation group were treated with laparoscopic radical nephrectomy and the control group were treated with open radical nephrectomy. The stress reaction was contrasted between the two groups. Results: There was no significantly difference between two groups in serum cortisol, heart rates, blood pressure, WBC, CRP, FT3 and FT4 preoperation (P>0.05). Serum cortisol, heart rate, blood pressure, WBC and CRP in the two groups were significantly reduced 1and 3 days postoperation (P＜0.05) while the observation group was significantly higher than the control group (P＜0.05); FT3 and FT4 in the two groups were significantly increased 1 and 3 days postoperation (P＜0.05) while the observation group was significantly lower than the control group (P＜0.05). Conclusions: Laparoscopic and open radical nephrectomy can produce a series of stress reaction, but laparoscopic radical nephrectomy for renal carcinoma has a low stress reaction and fast recovery. It is worthy of promotion.
程伟，刘修恒，陈明，张继来. 腹腔镜与开放肾癌根治术对机体应激反应影响的比较[J]. 微创泌尿外科杂志, 2016, 5(2): 77-79.
Cheng,Wei,Liu,Xiuheng,Chen,Ming,Zhang,Jilai. Comparison of the influence on stress reaction of laparoscopic and open radical nephrectomy for renal carcinoma. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(2): 77-79.
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