The clinical efficacy to treat transitional cell carcinoma upper urinary tract

Objective To observe the clinical efficacy of laparoscopic to treat transitional cell carcinoma upper urinary tract.Methods The clinical dates of 60 patients with transitional cell carcinoma upper urinary tract in our hospital from October 2009 to December 2010 were analysed retrospectively and randomly divided into the treatment group and control group,each group of 30 cases of patients.30 patients in the control group were given the renal ureteral resection with openness,30 patients of the treatment group were given by retroperitoneal mirror,joint urethral cutting lens line of renal ureteral.Postoperative recovery degree,related complications,the clinical curative effect and treatment costs and comparative in two groups were compared and analysed.Results In the treatment group,the amount of blood loss of patients was(76.2±28.4) mL,the bowel function was basically back to normal after postoperative for(23.2±11.7) hours,the time of conducting activities under the bed was after postoperative for(23.2±11.6) hours,the time of application painkillers were(1.0±0.5) days,application of antibiotics for patients with time(2.0±1.1) days after surgery,the time of patients in hospital was(6.2±1.3) days,the time of patients to restore a normal work was(28.2±7.6) days.All the indexes above were significantly better than that in the control group,the differences were statistically significant(P 0.05).And the clinical complications in the treatment group were less than that in the control group.But surgery time was short in the control group,and the operation cost and the overall cost of the hospital were lower than that in treatment group,the differences were significant(P 0.01).The patients were no tumor recurrence after following up for one to three years.Conclusion Compared with the openness renal ureteral resection,clinical curative effect of the retroperitoneal mirror,urethra cutting lens line of renal ureteral resection are quite with the small surgery trauma,less painful for patients,faster recovery in postoperative,less clinical complications,but operation time is long,cost of treatment is higher.