摘要
目的 :评价后腹腔镜肾上腺手术治疗肾上腺疾病的效果。方法 :对行后腹腔镜肾上腺手术患者 34例 (后腹腔镜组 )与同期行开放性肾上腺手术患者 17例 (开放手术组 )的临床效果进行比较。结果 :后腹腔镜组除平均手术时间外 ,估计平均失血量、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手术组 ,无一例需要输血和出现严重并发症。术后平均随访 9个月 ,全部病例均达到治疗的目的 ,无远期手术并发症发生。结论 :后腹腔镜肾上腺手术显著优于开放手术 ,是一种安全有效的方法 ,特别适合于小的肾上腺良性肿瘤、肾上腺囊肿及肾上腺手术探查。
Objective:To evaluate retroperitoneal laparoscopic procedures in the treatment of adrenal disorders.Methods:Between November 2001 and October 2003, we performed 34 retroperitoneal Laparoscopic procedures for adrenal lesions in 33 patients (21women and 12men) with a mean age of 35 years (range 18 to 64). Laparoscopic adrenalectomy was performed in 4 patients with Cushing syndrome, laparoscopic resection of adrenal adenoma and pheochromocytoma in 24 patients, laparoscopic adrenal cystectomy in 2 patients, and laparoscopic adrenal explorations in 3 patients. Open surgeries were performed in 17 cases(11 women and 6 men)with a mean age of 38 years(range 23 to 58).Results:There was no severe complication and conversion to open surgery. The estimated blood loss was 90 ml (range 60～340 ml) and mean operative time was 86 min (range 40～180 min). With a mean follow-up of 9 months, there was no recurrence of treated lesions and later complication. Compared with open surgery, retroperitoneal laparoscopic procedure was better than open surgery in estimated blood loss, analgesic use, ambulatory time, and postoperative hospital stay.Conclusions:Retroperitoneal laparoscopic procedure is a minimally invasive and safe therapeutic option for adrenal benign lesions, especially for small adrenal benign tumors and cyst. For adrenal exploration, retroperitoneal laparoscopic procedure may be the first methods of choice.
出处
《临床泌尿外科杂志》
2004年第10期582-584,共3页
Journal of Clinical Urology
关键词
肾上腺肿瘤
肾上腺切除术
腹腔镜
Adrenal gland neoplasms
Adrenalectomy
Retroperitoneal laparoscopy
