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肾上腺病变的后腹腔镜手术切除 被引量:3

Retroperitoneal laparoscopic adrenalectomy (Report of 65 cases)
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摘要 目的 :探讨后腹腔镜手术切除肾上腺病变的效果。方法 :对 6 5例肾上腺病变患者行后腹腔镜肾上腺病变切除术。结果 :6 5例手术时间为 4 5~ 2 19min ,平均为 74min。术中出血 2 0~ 30 0ml,平均 5 0ml。患者术后第 2天下床活动并进流质饮食 ;引流管于术后 2~ 3天拔除 ;穿刺孔周围皮下气肿 2~ 3天后自动吸收 ;平均住院时间 6d。问卷调查 ,患者均于术后 7~ 2 0天 (平均 12天 )恢复正常生活。结论 :后腹腔镜下手术切除肾上腺病变是一种微创、安全、有效、患者住院时间短、术后恢复快的术式。 Objective:To explore the efficacy of retroperitoneal laparoscopic adrenalectomy. Methods:65 adenalectomies were performed by retroperitoneal laparoscopy.Results:Of 65 laparoscopic surgery, 1 conversion to open surgery was necessary in 1 patient with pheochromocytoma due to uncontrolled bleeding caused by adenoma envelope teared, 1 open surgery should be done as a result of hemorrhage from adrenal gland remnants on the 1st day after laparoscopic adenalectomy, other 63 retroperitoneal laparoscopic adenalectomies were underwent successfully. Operative time ranged from 45~219 min (mean 74 min). Estimated intraoperative blood loss were about 20~300ml (mean 50ml). Adrenal gland partial rupture occurred in 12 patients, peritoneal perforation in 8, subcutaneous emphysema around the ports in 22 and absorbed spontaneously 3 days after the treatment. All patients resumed activities and begun oral intake 2 days after operation and the drain tubes was removed 2 to 3 days. The average hospital stay was 6 days. Questionnaire survey showed the patients resumed normal work in 7 to 20 days (mean 12 days) postoperatively.Conclusions:Our initial experience showed that retroperitoneal laparoscopic adrenalectomy was minimally invasive and safe surgical technique with short length of hospital stay and rapid recovery.
出处 《临床泌尿外科杂志》 2004年第7期393-395,共3页 Journal of Clinical Urology
关键词 肾上腺切除术 腹腔镜 腹膜后腔 Adrenalectomy Laparoscopy Retroperitoneal
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参考文献7

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共引文献248

同被引文献27

  • 1陈盛烨,翁志梁,张方毅,陈洪德,邓哲宪,李澄棣.后腹腔镜肾上腺嗜铬细胞瘤切除术[J].临床泌尿外科杂志,2005,20(12):723-724. 被引量:1
  • 2乔迪,钱立新,吴宏飞,夏国伟,华立新,宋宁宏,冯宁翰,张炜.后腹腔镜及经腹膜外径路腹腔镜技术在泌尿外科器官保留、功能重建手术中的应用[J].临床泌尿外科杂志,2005,20(12):725-726. 被引量:4
  • 3姚友生,黄健,许可慰,黄海,江春,郭正辉,韩金利,林明恩.经腹膜后与经腹腔入路腹腔镜下侧位肾上腺手术的比较[J].中华泌尿外科杂志,2006,27(9):587-589. 被引量:43
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