后腹腔镜单解剖层面切除巨大肾上腺肿瘤的疗效  

Efficacy of Retroperitoneal Laparoscopic Single-anatomical Giant Adrenalectomy

作　　者：时振国[1] 王晓辉[1] 李会兵[1] 郑鹏毅[1] 李志军[1] Shi Zhenguo;Wang Xiaohui;Li Huibing(Department of Urology,The First Affliated Hospital of Henan University of Science and Technology,Henan 471003,China)

机构地区：[1]河南科技大学第一附属医院泌尿外二科,洛阳471003

出　　处：《医学研究杂志》2020年第11期100-103,共4页Journal of Medical Research

基　　金：河南省医学科技攻关计划项目(2018020291)。

摘　　要：目的评估经后腹腔镜单解剖层面巨大肾上腺肿瘤切除术的手术技巧及临床效果。方法回顾性分析笔者医院2015年1月~2019年12月行后腹腔镜巨大肾上腺肿瘤切除术60例患者的临床资料,单解剖层面肾上腺肿瘤切除术32例,非单解剖层面肾上腺肿瘤切除术28例。比较两组患者的手术指标及围术期的相关临床参数。结果60例巨大肾上腺肿瘤均在后腹腔镜下完成,两组肿瘤患者的基本情况、肿瘤位置、病理类型等比较,差异均无统计学意义(P>0.05)。经后腹腔镜单解剖层面肾上腺肿瘤切除术在手术时间、腹膜破损率、术中出血量及术后引流量等方面均优于非单解剖层面肾上腺肿瘤切除术,差异均有统计学意义(P<0.05)。而在肿瘤完整切除率及术后恢复方面,两组比较差异无统计学意义(P>0.05)。结论经后腹腔镜单解剖层面巨大肾上腺肿瘤切除术疗效显著,值得在临床上应用推广。Objective To investigate the surgical techniques and clinical effects of retroperitoneal laparoscopic single-anatomical giant adrenalectomy.MethodsA retrospective study of clinical data of 60 patients who underwent retroperitoneal laparoscopic giant adrenalectomy from January 2015 to December 2019.Thirty two patients underwent single-anatomical adrenalectomy and 28 patients underwentnon-single-anatomical adrenalectomy.The operative indexes and clinical parameters of the two groups were compared.Results Sixty cases of giant adrenal tumors were performed under laparoscopy.There were no differences(P>0.05)in the basic conditions,location and pathological type between the two groups.Retroperitoneal laparoscopic single-anatomical giant adrenalectomy was superior to non-single anatomical adrenalectomy in terms of operation time,peritoneal breakage rate,intraoperative bleeding volume and postoperative drainage,with statistical significance(P<0.05).ConclusionRetroperitoneal laparoscopic single-anatomical giant adrenalectomy is effective and worthy of clinical application and promotion.

关 键 词：腹腔镜 肾上腺肿瘤 单解剖层面 手术 

分 类 号：R6[医药卫生—外科学]