摘要
目的:探讨腹腔镜肾上腺切除术的适应证和临床价值。方法:2005年1月～2008年3月对125例患者行腹腔镜下肾上腺切除术,其中经后腹腔途径110例(肿瘤直径<5 cm),经腹途径15例(肿瘤直径5～8cm)。结果:124例手术成功,1例因术中出血中转开放。手术时间35～150 min,平均50 min,术中出血20～800m1,平均50 ml,住院时间3～10天,平均5天。患者术前症状约于术后3个月内缓解,均无复发。结论:腹腔镜肾上腺手术具有创伤小、出血少、并发症少、恢复快、患者住院时间短的优点,是肾上腺肿瘤手术治疗的首选方法。
Objective：To evaluate the indication and the clinical value of laparoseopic adrenalectomy. Methods： From January 2005 to March 2008, 125 patients with adrenal diseases underwent laparoscopie adrenalectomy：110 cases were treated by retropriton-eal way （tumor diameter 〈5 cm） and 15 cases were treated by peritoneal way （tumor diameter：5-8 cm）. Results： 124 of 125cases were successful,only one was converted to open surgery due to bleeding . The operation time was 35 to 150 min（mean,50 min）. The blood loss was 20 800 ml（mean, 50 ml） without blood transfusion. The length of hospital stay was 3-10 days （mean, 5days）. After 3 months follow-up, the preoperative symptoms was relieved and there was no recurrence of tumor. Conclusions： Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery and shorter hospital stay length. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resec tion of adrenal turmor.
出处
《临床泌尿外科杂志》
北大核心
2009年第11期812-813,816,共3页
Journal of Clinical Urology
