摘要
目的：探讨后腹腔镜一层解剖性肾上腺切除术的手术方法及疗效。方法采用后腹腔镜一层解剖性肾上腺切除术治疗85例肾上腺增生或腺瘤患者，观察手术疗效。结果85例手术均获成功，手术时间60～120 min，平均80 min。术中出血量20～50 ml，平均30 ml。术中均无损伤脏器及发生气体栓塞等严重并发症，出现术后皮下气肿或切口感染6例（7％）。术后平均住院8d。随访3～24个月，平均10个月，患者症状消失或好转，均未见复发。结论后腹腔镜一层解剖性肾上腺切除术治疗肾上腺增生或腺瘤，可简化解剖层次，术中损伤轻、并发症少。
Objective To explore surgical procedures and clinical efficacy of anatomical retroperito-neoscopic adrenalectomy. Methods Eighty-five patients with adrenal hyperplasia or adenoma underwent ana-tomical retroperitoneoscopic adrenalectomy and the surgical efficacy was observed. Results All 85 patients successfully underwent the surgery. The average operative time was 80 min （range：60~120）. The average a-mount of intraoperative blood loss was 30 ml （range：20~50）. No severe intraoperative complications,such as visceral injury and air embolism were observed. Six patients （7%）suffered from postoperative subcutaneous emphysema or incision infection. The mean length of hospital stay was 8 d. Postoperative follow-up ranged from 3 to 24 months,10 months on average. In all cases,the symptoms were recovered or alleviated. No recurrent cases were found. Conclusions Anatomical retroperitoneoscopic adrenalectomy could simplify the anatomical procedures and yield slight intraoperative injuries and few postoperative complications.
出处
《新医学》
2014年第12期835-837,共3页
Journal of New Medicine
关键词
肾上腺切除术
腹腔镜
后腹膜腔
Adrenalectomy Laparoscopy Retroperitoneal space
