摘要
目的：探讨原发性醛酮增多症的后腹腔镜微创手术治疗效果。方法：2002年9月～2006年9月对133例原发性醛固酮增多症患者采用经腹膜后入路腹腔镜治疗，其中肾上腺皮质腺瘤126例，肾上腺皮质增生7例。结果：手术平均时间93min，术中平均失血量36mL，术后平均住院时间6．8d。术中、术后发生并发症16例，9例腹膜破损，7例轻度皮下气肿。115例平均随访20个月，所有患者血钾恢复正常．术后30例仍有高血压需辅以降压药物治疗。结论：腹膜后入路腹腔镜肾上腺全切术或部分切除／肿瘤切除术治疗原发性醛固酮增多症具有微创、安全、疗效确切的优点，将成为该病治疗的首选术式。
Objective： To investigate the effect of retroperitoneal laparoscopic surgery on primary aldosteronism. Methods： Retrospectively analyzed 133 cases with primary aidosteronism treated by retroperitoneal laparoscopic surgery from Sep. 2002 to Sep. 2006, including 126 patients with adrenocortical adenoma and 7 patients with adrenal cortical hyperplasia. Results： Mean surgical time was 93rain, mean blood loss was 36mL during surgery, and mean hospital stay was 6.8d. 16 patients had complication during or after surgery, including 9 cases with broken abdominal membrane, 7 cases with light cutaneous emphysema. 20-month follow-up of 115 cases showed that serum potassium levels of all patients were normal, and 30 patients with high blood pressure still need hypoten- sive drug. Conclusion： Retroperitoneal laparoscopic surgery of whole or partial adrenal tumor is minimally invasire, safe and with confirmed effect. It will become preferred surgery for primary aldosteronism.
出处
《海南医学院学报》
CAS
2009年第4期338-339,341,共3页
Journal of Hainan Medical University
关键词
后腹腔镜
原发性醛固酮增多症
肾上腺切除术
Retroperitoneal laparoscopic surgery
Primary aldosteronism
Adrenalectomy
