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- W2357960876 abstract "Objective:To prospectively compare radical nephrectomy with thoracoabdominal incision or lumber incision for the surgical treatment of large renal tumors.Methods: Clinical data of 32 large renal tumors of thoracoabdominal incision radical nephrectomy(Group 1)and 28 cases of flank incision radical nephrectomy(Group 2) from January 2003 to December 2006 in this hospital were retrospectively analyzed and compared in respect of operation time,hemorrhage volume in operation,use of painkiller,fasting period after operation,and postoperative hospitalization.All the cases were followed up for 6-30 months and the times of discontinuation of pain medication,return to daily activities and work after surgery,the survival rates,and complications were recorded.Results: Patients in both groups were all successfully treated and their sexes,clinical stages and ages were all comparable.The operation time in group 1(117.3±8.1) min was shorter than that in group 2(123.6±4.9) min(P=0.001).The hemorrhage volume in operation in group 1(150.2±10.1) ml was significantly less than that in group 2(209.9±12.7) ml(P0.001).Mean size of tumors in group 1 was larger than that in group 2 obviously(P=0.001).The survival rate in group 1 is higher than that in group 2.The fasting period in group 2(62.79±6.50) h was shorter than that in group 1(66.93±3.17) h(P=0.004).The removed drainage-tube time,length of off-bed time and stay were the same in both groups.There were no significant differences between groups in times following surgery when pain completely disappeared,rate of complications,when pain medications were discontinued,and when the patient returned to daily activities and work(P0.05).Conclusion: Compared with lumber incision,thoracoabdominal incision has the advantages of shorter operation time,less blood loss,and better exposure,being a safe and effective curative method." @default.
- W2357960876 created "2016-06-24" @default.
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- W2357960876 date "2008-01-01" @default.
- W2357960876 modified "2023-09-23" @default.
- W2357960876 title "A prospective study of the efficacy of thoracoabdominal incision for nephrectomy:a comparison with the lumber approach" @default.
- W2357960876 hasPublicationYear "2008" @default.
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