Renal cell carcinoma
Conditions
Interventions
Experimental group:Laparoscopic radical nephrectomy was performed by transperitoneal approach
The control group:Laparoscopic radical nephrectomy was performed through retroperitoneal space
Sponsors
The second hospital of lanzhou university
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients and his families who volunteered to participate this study. And Patient is informed and has given written informed consent. 2.18 years of age and less than 75 years of age, both men and women; 3. Preoperative diagnosis is Limited renal cancer (stage T1 ~ T3aN0M0), but should be excluded except for small renal cell carcinoma; 4. No previous history of other malignant tumors.
Exclusion criteria
Exclusion criteria: 1. tumor has invaded the inferior vena cava or renal pedicle lymph node metastasis; 2. lack of behavioral ability or limited behavioral ability; 3. Routine preoperative chest X-ray and abdominopelvic enhanced CT examination found distant metastasis without radical surgical conditions or intraoperative exploration found extensive local invasion of advanced tumors; 4. surgery combined with other organ resection or laparoscopic surgery converted to laparotomy; 5. patients with other serious diseases, including cardiovascular, respiratory, renal, or liver diseases, combined with poorly controlled hypertension, diabetes; 6. pregnant and lactating women; 7. History of abdominal surgery or retroperitoneal surgery or ipsilateral surgery; 8. history of preoperative chemotherapy; 9. severe coagulation dysfunction electrolyte balance disorder hypoproteinemia after active correction without significant improvement; 10. allergic to anesthetic drugs, poor cardiopulmonary function and other anesthesia contraindications; 11. any other condition that the investigator considers inappropriate for participation in the trial;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence free survival ; | — |
Secondary
| Measure | Time frame |
|---|---|
| overall survival;The operation time;The amount of blood lost during the operation;Postoperative hospital stay;Cost from post-operation to discharge;Perioperative complications; | — |
Countries
China
Contacts
Public Contactpanfeng Shang
The second hospital of lanzhou university
Outcome results
None listed