摘要
目的评价后腹腔镜手术治疗肾上腺疾病的临床价值。方法比较40例经后腹腔镜手术治疗和25例经开放治疗的肾上腺疾病患者临床资料,统计分析两种术式在手术时间、术中出血量、术后住院天数、术后并发症发生率等的差别。结果两组手术均获得成功。两组手术时间分别为(119.8±82.9)min和(117.7±70.2)min,术中出血量分别为(77.4±104.3)ml和(189.2±223.9)ml,术后住院天数分别为(5.7±1.6)d和(8.9±4.6)d。其中,后两项的组间差异有高度统计学意义(P<0.001)。后腹腔镜组术中、术后无严重并发症;开放组术中4例发生胸膜损伤,1例出现大出血(出血量>1000ml),术后3例切口愈合不良。结论与开放手术相比,后腹腔镜手术具有损伤小、出血少、切口美观、病人恢复快等优点,可作为肾上腺疾病的首选治疗方法。
Objective: To evaluate the clinical application of retroperitoneal laparoscopic adrenalectomy for adrenal diseases. Methods: The clinical data of 40 cases undergoing laparoscopic adrenalecotmy via the retroperitoneal approach were compared with that of 25 cases undergoing open adrenalectomy. The differences in operation time, bleeding volume during operation, hospitalization stay after operation and occurrence of postoperative complications of tow groups were compared. Results: All operations in both groups were performed successfully. The operation time was (119.8±82.9)min and (117.7±70.2)min respectively (P>0.05). The bleeding volume during operation was (77.4±104.3)ml and (189.2±223.9)ml, and the postoperative hospitalization, (5.7±1.6)days and (8.9±4.6) days, respectively (P>0.001). There were no servere intral-and postoperative complicantions in the former group. In the latter group, pleural damage occurred in 4 cases, huge bleeding during procedure (>1 000 ml) in 1 and wound indolence in 3. Conclusions: Compared with open adrenalectomy, retroperitoneal laparoscopic adrenalectomy has advantages of minimal morbidity, small incision, less bleeding and rapid recovery. This method could be considered as the surgical treatment of choice for adrenal diseases.
出处
《中国内镜杂志》
CSCD
2004年第9期31-33,共3页
China Journal of Endoscopy
