摘要
目的比较后腹腔镜解剖性三层面分离法与传统两层面分离法行肾上腺肿物切除的临床疗效。方法回顾性分析我院2012年8月~2016年1月41例后腹腔镜肾上腺肿物切除术资料,其中21例采用解剖性三层面分离法,20例采用传统两层面分离法,比较2组手术时间、术中出血量、术后引流量、术后排气时间、术后住院日等指标。结果 41例手术均成功,无大出血,无中转开放。解剖性三层面与传统两层面分离法的手术时间分别为(125.7±18.5)min和(163.5±36.1)min(t=-4.176,P=0.001),术中出血量分别为(18.8±16.0)ml和(34.0±17.0)ml(t=-3.787,P=0.001)。2组术后住院时间、术后排气时间、术后引流量差异无统计学意义(P>0.05)。结论与传统的两层面后腹腔镜肾上腺肿物切除术相比,后腹腔镜解剖性三层面肾上腺肿物切除术安全可行,且有明显的技术优势。
Objective To compare the three layers and traditional two layers separation in retroperitoneoscopic adrenalectomy for the treatment of adrenal mass.Methods A total of 41 patients with adrenal mass underwent operations in our hospital from August 2012 to January 2016, including 21 cases of anatomical retroperitoneoscopic adrenalectomy with three layers method and 20 cases of traditional two layers method surgery.The operative time, intraoperative blood loss, postoperative hospital stay and postoperative complications were analyzed and compared between the two groups.Results All the 41 surgeries were performed successfully without severe complications such as bleeding or conversion to open surgery.The clinical data of three layers method group and two layers method group were as follows： the average operation time was （125.7±18.5） min and （163.5±36.1） min, respectively （t=-4.176, P=0.001）;the mean intraoperative blood loss was （18.8±16.0） ml and （34.0±17.0） ml, respectively （t=-3.787, P=0.001）.There were no significant differences in postoperative hospital stay, postoperative ventilation, postoperative drainage between two layers method group and three layers method group （P〉0.05）.Conclusion Anatomical retroperitoneoscopic adrenalectomy is a safe and effective technique for adrenal mass, which has technique advantages.
出处
《中国微创外科杂志》
CSCD
北大核心
2017年第7期633-636,共4页
Chinese Journal of Minimally Invasive Surgery
基金
2014年安徽省合肥市"借转补"项目(合科2014-71(13)号)
关键词
后腹腔镜
肾上腺肿瘤切除术
解剖层次
Retroperitoneal laparoscopy
Adrenalectomy
Anatomical level
