摘要
目的探讨经腹膜后途径行腹腔镜手术切除肾上腺肿瘤的手术特点。方法选取符合手术要求病例20例,肾上腺肿瘤直径6 cm以下,术前评估为良性肿瘤。全部病例均采取腹膜后入路行腹腔镜肾上腺肿瘤切除术。结果按照预先设置的手术流程,20例患者均顺利在腹腔镜下完成了肾上腺肿瘤切除手术,术中按照"三步骤、三层次、三标识"手术解剖要素进行,无1例患者中转开放手术。术后患者无大出血及死亡病例,随访1～18月肿瘤无复发。结论经腹膜后入路行腹腔镜手术切除肾上腺肿瘤的手术方法创伤小、易掌握,可以作为开放手术的替代术式在基层推广应用。
Objective To explore the laparoscopic surgery removing adrenal tumors characteristics by retroperitoneal approach. Methods 20 patients with the demands of the surgery. Patients fn requirements ： adrenal tumors within 6 cm in diameter below, preop- erative assessment for benign tumors. All patients were taken into laparoscopic adrenal tumor resection by retroperitoneal approach. Results According to preset operation flow, 20 patients who successfully completed in laparoscopic adrenal tumor resection was performed in accordance with the ＂three steps, three levels and three signs＂ surgical anatomic requirements, there was no patients transiting open surgery. The patient had not occurred serious complications. In the short term recovery were discharged, follow - up 1 - 18 months, tumor without recurrence. Conclusion The method of laparoscopic surgery to remove the adrenal tumors by retroperitoneal approach is small trauma, easy to master, can be used as a substitute in the open surgery procedures is the application.
出处
《宁夏医学杂志》
CAS
2012年第12期1246-1248,共3页
Ningxia Medical Journal
基金
宁夏石嘴山市科技局科技攻关重点项目(201025)
