后腹腔镜单解剖层面肾上腺肿瘤切除术治疗直径>6 cm巨大肾上腺肿瘤的临床效果  

Clinical Effect of Retroperitoneal Laparoscopic Single-Anatomical-Layer Adrenalectomy in the Treatment of Diameter>6 cm Giant Adrenal Tumors

作　　者：凌强 邬韬[1] 杨海[2] LING Qiang;WU Tao;YANG Hai(Department of Urology,the Affilited Hospilal of Norh Sichucan Medical College,Nanchong 637000,China;Department of Urology,Guang an People's Hospial,Guang'an 638000,China)

机构地区：[1]川北医学院附属医院泌尿外科,四川南充637000 [2]广安市人民医院泌尿外科,四川广安638000

出　　处：《临床医学工程》2023年第5期605-606,共2页Clinical Medicine & Engineering

摘　　要：目的探讨后腹腔镜单解剖层面肾上腺肿瘤切除术治疗直径>6 cm巨大肾上腺肿瘤的临床效果。方法回顾性分析87例巨大肾上腺肿瘤(直径>6 cm)患者的临床资料,将采用后腹腔镜单解剖层面肾上腺肿瘤切除术治疗的47例患者纳入A组,将采用后腹腔镜三解剖层面肾上腺肿瘤切除术治疗的40例患者纳入B组。比较两组患者的围术期指标、围术期并发症发生率及术后转ICU率。结果两组的住院时间、肿瘤完整切除率、术后转ICU率比较差异无统计学意义(P>0.05)。A组手术时间短于对照组,术中出血量、术后引流量、围术期并发症发生率低于B组(P<0.05)。结论后腹腔镜单解剖层面肾上腺肿瘤切除术治疗直径>6 cm巨大肾上腺肿瘤效果显著,可明显减轻患者术中创伤,降低围术期并发症发生率。Objective To explore the clinical effect of retroperitoneal laparoscopic single-anatomical-layer adrenalectomy in the treatment of diameter>6 cm giant adrenal tumors.Methods The clinical data of 87 patients with giant adrenal tumors(diameter>6 cm)were retrospectively analyzed.47 patients with retroperitoneal laparoscopic single-anatomical-layer adrenalectomy were selected as group A,and 40 patients with retroperitoneal laparoscopic three-anatomical-layer adrenalectomy were selected as group B.The perioperative indicators,incidence of perioperative complications and postoperative ICU transfer rate were compared between the two groups.Results No statistical difference was found in the hospitalization time,complete tumor resection rate and postoperative ICU transfer rate between the two groups(P>0.05).The operation time in group A was shorter than that in group B,and the intraoperative blood loss,postoperative drainage volume and incidence of perioperative complications were lower than those in group B(P<0.05).Conclusions Retroperitoneal laparoscopic single-anatomical-layer adrenalectomy has significant effect in the treatment of diameter>6 cm giant adrenal tumors,which can significantly reduce the intraoperative trauma and incidence of perioperative complications.

关 键 词：后腹腔镜单解剖层面肾上腺肿瘤切除术 巨大肾上腺肿瘤 临床效果 

分 类 号：R736.6[医药卫生—肿瘤]