后腹腔镜肾上腺手术转为开放手术的微创手术方法的临床应用  

The Clinical Application of the Portless Endoscopy Operation for the Unsuccessful Retroperitoneal Laparoscopic Adrenalectomy

作　　者：孙丹[1] 李泽良[1] 孔垂泽[1] 

机构地区：[1]中国医科大学附属第一医院泌尿外科,沈阳110001

出　　处：《中国医科大学学报》2011年第9期858-860,共3页Journal of China Medical University

摘　　要：目的探讨后腹腔镜肾上腺手术失败后转为微创内视镜手术的开放式微创手术方法的临床应用。方法对108例肾上腺肿瘤患者行后腹腔镜肾上腺切除术中未成功的16例患者行微创内视镜下肾上腺及肿瘤切除术,观察其疗效。结果 16例微创内视镜肾上腺切除术均成功。微创内视镜手术的患者与传统开放手术患者相比,在手术时间、术中失血量、术后引流量、术后住院天数等方面比较,差异有统计学意义(P<0.05)。结论微创内视镜将腹腔镜技术与开放手术结合,是腹腔镜手术中转开放手术时一种可取的微创手术方法。Objective To discuss the clinical application of the minimal invasive operation for the unsuccessful retroperitoneal laparoscopic adrenalectomy.Methods 108 cases laparoscopic adrenalectomies were carried out in 108 patients who had single side benign adrenal neoplasma by the same team in department of urology,China Medical University from January 2008 to November 2010,while 16 cases were failed and turned to portless endoscopic operation.The main outcome measurements for the failed cases were operative time,estimated blood loss,postoperative hospital stay and postoperative drainage.While 16 cases of traditional open operation synchronously were analyzed and compared with the portless endoscopic operations.Results Using t-test as the statistical analysis between the two groups.There were significant differences between the two groups in operative time,estimated blood loss,postoperative hospital stay and postoperative drainage.Conclusion We recommended portless endoscopic adrenalectomy if the retroperitoneal laparoscopy failed.

关 键 词：后腹腔镜 微创内视镜 小切口 肾上腺切除术 

分 类 号：R699.3[医药卫生—泌尿科学]