腹腔镜肾上腺肿瘤切除术75例报告  

Clinical Analysis of Laparoscopic Adrenalectomy:75 Cases Report

作　　者：肖克峰[1] 杨江根[1] 尹朝辉[1] 房杰群[1] 陈彤[1] 章道恒[1] 

机构地区：[1]暨南大学附属深圳市人民医院泌尿外科

出　　处：《中国现代手术学杂志》2004年第4期234-236,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨腹腔镜下肾上腺肿瘤切除的方法和临床应用价值。　方法　 1999年 1月～ 2 0 0 4年 6月 75例患者行腹腔镜肾上腺肿瘤切除术 ,其中采用经腹腔途径 5 1例和经腹膜后途径 2 4例。结果　手术时间平均为 ( 170 .16± 33.81)min ,术中的出血量平均为 ( 70 .82± 37.15 )ml。术后平均住院时间为 ( 5 .87± 1.0 1)d。中转开放手术 2例 ( 2 .6 7% )。发生并发症 4例 ( 5 .33% ) ,分别为膈肌损伤、胰腺损伤、肠道损伤、皮下血肿各 1例。　结论　腹腔镜下行肾上腺肿瘤切除术具有创伤小 ,术中出血少 ,术后恢复快等优点 。Objective To evaluate the procedure and clinical value of laparoscopic adrenalectomy(LA). Method 75 cases of LA were retrospectively reciewed, the operations were performed via transperitoneal approach and retroperitoneal approach in 51 and 24 cases respectively. Results The mean operative time was 170.16±33.81 minutes, mean blood loss was 70.82±37.15 ml, postoperative stay was 5.87±1.01 days. 2 cases (2.66%) conversed to open surgery.The complications occured in 4 cases included diaphragmatic injury, pancreatic injury, bowel injury and ecchymoma respectively. Conclusions The laparoscopic adrenalectomy has the advantages of mini invasion, less blood loss, quick recovery to be the golden standard for benign adrenal neoplasms.

关 键 词：腹腔镜 肾上腺肿瘤 肾上腺切除术 治疗 

分 类 号：R736.6[医药卫生—肿瘤]