腹腔镜手术治疗肾上腺肿瘤的临床应用体会  

Retroperitoneal laparoscopic surgery vs open adrenalectomy for primary aldosteronism

作　　者：俞海涛[1] 牛春红[2] 刘晓锋[1] 李海潮[1] 

机构地区：[1]山西省大同市第三人民医院泌尿外科,大同037008 [2]山西大同大学医学院病理生理学教研室

出　　处：《山西医科大学学报》2010年第4期368-370,共3页Journal of Shanxi Medical University

摘　　要：目的探讨原发性醛固酮增多症(原醛症)行腹膜后腹腔镜手术治疗的效果,并与开放手术对比分析。方法回顾分析比较行腹膜后腹腔镜手术的原醛症患者48例与近期开放手术治疗的原醛症患者36例的临床效果。结果经后腹腔镜肾上腺手术全部成功。后腹腔镜组在平均手术时间、平均失血量、术后止痛剂用量、术后下床活动时间及术后住院天数均显著优于开放组(P<0.01)。两组手术时间分别为(50±13)min和(110±20)min;术中出血量分别为(46±11)ml和(130±22)ml,组间比较差异均有显著性意义(P<0.001)。结论治疗原醛症采用后腹腔镜手术显著优于开放手术,是一种安全有效的术式,具创伤小、出血少、康复快、住院时间短等优点。Objective To compare the efficacy of retroperitoneal laparoscopic surgery and open adrenalectomy in the treatment of primary aldosteronism.Methods Retroperitoneal laparoscopic surgery was performed in 48 patients with primary aldosteronism.The clinical data were compared with those of 36 cases undergoing open surgery.Results Retroperitoneal surgery for 48 cases were successful.Compared with open surgery,retroperitoneal laparoscopic surgery was better in the mean operative time,estimated blood loss,analgesic use,the occurrence of complications,and postoperative hospital stay.The operating time for posterior laparoscopic and open adrenalectomy was（50±13）min and（110±20）min respectively,while the average bleeding volumes during the operation were（46±11）ml and（130±22）ml（P0.001）Conclusion Retroperitoneal laparoscopic procedure is a minimally invasive and safe therapeutic option for primary aldosteronism,with less blood loss,recovery time and shorter postoperative hospital stay.

关 键 词：原发性醛固酮增多症 肾上腺疾病 肾上腺切除术 腹腔镜 

分 类 号：R736.6[医药卫生—肿瘤]