摘要
目的探讨经后腹腔途径应用单孔腹腔镜技术行肾上腺切除术的可行性。方法选取8例患者，其中。肾上腺增生5例，肾上腺腺瘤3例，采用单孔腹腔镜经后腹腔途径行肾上腺切除术。于腋中线髂嵴上方4～5cm处取纵行切口2．5cm，置入2根5mm和1根10mm穿刺器，使用医用橡胶手套包裹穿刺器以防止漏气，应用前端可弯曲电凝钩及抓钳进行操作，肾上腺中央静脉应用Hem-O-lock钳夹。结果8例手术均获得成功，手术时间55～135min，平均95min，术中出血50～150ml，平均85ml。术后引流量均少于100ml。术后随访1～4个月，患者血压均有不同程度降低，其中5例患者血压完全恢复正常，仅有1例患者手术切口延迟愈合。结论单孔腹腔镜经后腹腔途径行肾上腺切除术安全可行，手术效果确实有效。
Objective To explore the feasibility of laparoendoscopic single-site epinephroectomy through retroperitoneal approach. Methods Eight patients, including 5 cases of adrenal hyperplasia and 3 cases of adenoma, underwent retroperitonral laparoendoscopic single-site epinephroectomy. In all cases, a 2.5 cm single longitudinal incision was made along the midaxillary line 4-5 cm above the iliac crest. Two 5 mm and one 10 mm trocars were inserted, and medical rubber glove was sutured surrounding these trocars and incision for gas proofing. Flexible electric coagulation hook and plier were used for dissection. The adrenal central vein was held by Hem-o-lock clamps. Results All operations were successfully completed. The mean operating time was 95 （55-135） minutes. The mean estimated blood loss was 85 （50-150） ml. The total drainage volume after operation was less than 100 ml in all case, Follow-up results after 1 to 4 months demonstrated that, blood pressure in all patients decreased respectively and returned to the normal range in 5 cases. Slow cicatrization of incision oceured in only 1 case. Conclusions Retroperitoneal laparoendoscopic single-site epinephroectomy is verified to be safe and feasible, and the operation outcome is proved to be effective.
出处
《中华腔镜泌尿外科杂志（电子版）》
2012年第6期26-28,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
单孔腹腔镜技术
肾上腺切除术
经腹膜后途径
Laparoendoscopie single-site surgery
Epinephroectomy
Retroperitonral approach
