摘要
目的 探讨经腹腔途径和经后腹膜腔途径腹腔镜在肾上腺肿瘤手术中的应用。方法 应用腹腔镜手术治疗肾上腺肿瘤 30例 ,其中 13例采用经腹腔途径 ,17例经后腹膜腔途径。结果 30例手术全部成功 ,手术时间 4 5～ 2 5 0min ,其中经腹腔途径 80～ 2 5 0min ,平均 16 0min。经后腹腔途径 4 5～ 180min ,平均10 5min。术中出血 2 0～ 15 0ml,其中经腹腔途径组 4 0～ 15 0ml,平均 80ml。后腹膜腔途径组 2 0～ 90ml平均5 0ml。所有病人均未输血。 30例病人术后平均住院 3～ 10d ,经腹腔途径平均 7d ,后腹膜腔途径 5d。结论 腹腔镜手术治疗肾上腺肿瘤 ,具有创伤小 ,康复快 ,安全可靠的优点。后腹膜腔途径相对腹腔途径创伤更小 。
Objective:To evaluate and compare laparoscopic adrenalectomy with retroperitoneal laparoscopic adrenalectomy.Methods:The clinical data of 13 cases receiving laparoscopic adrenalectomy were compared with 17 cases receiving retroperitoneal laparoscopic.The differences in operation time,average bleeding volume during operation hospitalization stay after operation and occurrence of postoperative complication of the two procedures were compared.Results:All the adrenalectomy were successful.The mean operating time was 160 minutes (80～250min),105 minutes (45～180) for laparoscopic adrenalectomy, retroperitoneal laparoscopic adrenalectomy respectively.Theaverage bleeding volume during operation being 80ml(40～150ml), 50ml (20～90ml)respectively, and themean postoperation hospitalization was 7 days,5 days respectively. No complication occurred in the laparoscopic and retroperitoneal laparoscopic adrenalectomy groups. Conclusions: Laparoscopic adrenalectomy has the advantages of mini-incision, less traumatic to patients, less blood loss and quicker recovery, the retroperitoneal laparoscopic adrenalectomy was better than the laparoscopic adrenalectomy.
出处
《中国内镜杂志》
CSCD
2003年第10期37-38,共2页
China Journal of Endoscopy
