[1]袁建林,王禾,张运涛,等.经腹、经后腹腔途径腹腔镜肾上腺肿瘤切除术(附56例报告)[J].中国微创外科杂志,2006,06(6):459-460.
　Yuan Jianlin,Wang He,Zhang Yuntao,et al.Laparoscopic adrenalectomy for adrenal tumors via transperitonealor retroperitonealapproaches:A report of 56 cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):459-460.
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经腹、经后腹腔途径腹腔镜肾上腺肿瘤切除术(附56例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
459-460
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Laparoscopic adrenalectomy for adrenal tumors via transperitonealor retroperitonealapproaches:A report of 56 cases　
作者:
袁建林; 王禾; 张运涛; 王立国; 刘贺亮; 杨力军; 武国军; 翟振波; 秦卫军; 邵晨; 杨小剑; 李欣
第四军医大学西京医院泌尿外科,西安,710032
Author(s):
Yuan Jianlin;  Wang He;  Zhang Yuntao;  etal.
Department of Urology, Xijing Hospital of Fourth Military Medical University, Xi’an 710032, China
关键词:
腹腔镜; 肾上腺肿瘤; 肾上腺切除术
Keywords:
Laparoscopy; 　Adrenal gland neoplasm; 　Adrenalectomy
分类号:
R699.3;R736.6
文献标志码:
A
摘要:
目的总结经腹腔、经后腹腔途径腹腔镜肾上腺肿瘤切除术的临床经验. 方法 2001年12月～2004年12月,我院施行腹腔镜肾上腺切除术56例.采用经腹腔途径肾上腺肿瘤切除术10例,腹部取3个trocar 穿刺入路,切开侧腹膜和肾周筋膜,在肾上极内上方分离肾上腺或瘤体,结扎速结合超声刀将肿瘤切除.经后腹腔途径切除肾上腺肿瘤46例,腰部取3个trocar 穿刺入路,用自制的气囊扩张后腹腔,切开肾周筋膜,在肾上极内上方分离肾上腺或瘤体,结扎速结合超声刀将肿瘤切除. 结果 10例经腹腔途径中3例因腹腔广泛粘连中转开放手术,46例经后腹腔途径中1例因下腔静脉损伤大出血中转开放手术.余52例术中出血量20～200 ml,平均70 ml,均未输血.手术时间40～200 min,平均110 min.术后住院3～8 d,平均5.4 d.52例随访6～36个月,平均8个月,未见肿瘤复发和转移. 结论腹腔镜肾上腺切除术效果确切,损伤小,术后恢复快,住院时间短,是肾上腺手术的首选术式.
Abstract:
Objective　To summarize the clinical experience of retroperitoneal and transperitoneal laparoscopic adrenalectomy for adrenal tumors.　M ethods　Laparoscopic adrenalectomy was carried out in 56 cases of adrenal tumors via transperitoneal (10 cases) or retroperitoneal (46 cases) approaches. For transperitoneal laparoscopic adrenalectomy, the operationwas performed through 3 abdominal trocars. After the peritoneum and theGerota’s fasciawere opened, the adrenalgland or tumorwere disconnected near the upper polar of the kidney. Then the tumorwas removed by using the LigaSure system and a harmonic scalpe.l For retroperitoneal laparoscopic adrenalectomy, a self-made balloonwas used to dilate the retroperitoneal space. Then theGerota’s fasciawas opened and the tumor was removed by using the LigaSure system and a harmonic scalpe.l　Results　Of the 10 cases of transperitoneal adrenalectomy, conversions to open surgery were required in 3 cases because of extensive abdominal adhesion; of the 46 cases of retroperitoneal adrenalectomy, a conversion to open surgerywas needed in 1 case because ofmassive hemorrhage of the inferior vena cava. Of the remaining 52 cases, the intraoperative blood losswas 20~200 ml (mean, 70 ml) and no blood transfusionwas needed. The operation timewas 40~200 min (mean, 110 min). The postoperative hospital staywas 3~8 d (mean, 5. 4 d). Follow-up for 6~36 months (mean, 8 months) in 52 cases showed no tumor recurrence and metastasis.　Conclusions　Laparoscopic adrenalectomy has advantages of reliable effects, minimal invasion, rapid recovery, and shorthospital stay. This procedure can be used as the first choice for the treatment of adrenal tumors.

参考文献/References:

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备注/Memo

备注/Memo:
＊本课题受国家科技攻关计划课题资助,课题编号:2004BA720A12
更新日期/Last Update: 2014-01-27