摘要
目的探讨后腹腔镜肾上腺肿物切除术的效果及临床体会。方法采用后腹腔镜切除肾上腺肿物24例，其中肾上腺皮质腺瘤8例，嗜铬细胞瘤7例，原发性醛固酮增多症9例。结果1例中转开放手术，23例获得成功，手术时间40～130min，平均98min；出血量50～300mL，平均140mL，均未输血。术后1～2d拔除引流管，第2天下床活动并进流食，未出现明显并发症，5～7d出院。随访6～24月，未见复发及远期并发症。结论后腹腔镜肾上腺手术具有创伤小、出血少、显露好、操作方便、并发症少、恢复快等优点。
Objective To investigate the laparoscopic resection of the adrenal tumor effects and clinical experience. Methods Among the 24 cases of Laparoscopic adrenalectomy tumors, there were 8 cases of ad- renal adenoma, 7 cases of pheochromocytoma and 9 cases primary aldosteronism. Results One case was transit to open operation, the other 23 were successful, each surgerical time was 40 - 130 min with an average of 98 min. Hemorrhage was 50 - 300 mL, 140 ml average, no blood transfusion. It was 1 - 2 d after surgery to remove drainage tubes, and could take some activities and have fresh flow in the second day. The patients didn＇t appear complications and discharged after 5 - 7 d. Follow-up of 6 - 24 months, there was no recurrence and long-term complications. Conclusion Laparoscopic adrenalectomy has the advantages of minor trauma surgery, less bleeding, good demonstrating, convenient operation, fewer complications and quick recovery.
出处
《国际外科学杂志》
2008年第8期514-516,共3页
International Journal of Surgery
关键词
腹腔镜术
后腹腔
肾上腺肿物
laparoscopic resection
laparoscopic
adrenal tumor
