[1]席俊华,张艳斌*,*应全胜,等.后腹腔镜下解剖性三层面法与传统两层面法肾上腺肿物切除术的比较[J].中国微创外科杂志,2017,17(07):633-636.
　Xi Junhua,Zhang Yanbin,Ying Quansheng,et al.A Comparative Study of Three Layers Versus Traditional Two Layers Separation in Retroperitoneoscopic Adrenalectomy[J].Chinese Journal of Minimally Invasive Surgery,2017,17(07):633-636.
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后腹腔镜下解剖性三层面法与传统两层面法肾上腺肿物切除术的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年07期
页码:
633-636
栏目:
临床研究
出版日期:
2017-07-20

文章信息/Info

Title:
A Comparative Study of Three Layers Versus Traditional Two Layers Separation in Retroperitoneoscopic Adrenalectomy
作者:
席俊华; 张艳斌*; *应全胜; 王伟; 杨振兴; 杨晓; 亮吴畏; 魏灿
安徽省合肥市第二人民医院泌尿外科，合肥230000
Author(s):
Xi Junhua;  Zhang Yanbin;  Ying Quansheng;  et al.
Department of Urology, Second Hospital of Hefei, Hefei 230000, China
关键词:
后腹腔镜; 肾上腺肿瘤切除术; 解剖层次
Keywords:
Retroperitoneal laparoscopy; Adrenalectomy; Anatomical level自从1992年Gagner
文献标志码:
A
摘要:
目的比较后腹腔镜解剖性三层面分离法与传统两层面分离法行肾上腺肿物切除的临床疗效。方法回顾性分析我院2012年8月~2016年1月41例后腹腔镜肾上腺肿物切除术资料，其中21例采用解剖性三层面分离法，20例采用传统两层面分离法，比较2组手术时间、术中出血量、术后引流量、术后排气时间、术后住院日等指标。结果41例手术均成功，无大出血，无中转开放。解剖性三层面与传统两层面分离法的手术时间分别为（125.7±18.5）min和（163.5±361）min（t=-4.176，P=0.001），术中出血量分别为（18.8±16.0）ml和（34.0±17.0）ml（t=-3.787，P=0.001）。2组术后住院时间、术后排气时间、术后引流量差异无统计学意义（P>0.05）。结论与传统的两层面后腹腔镜肾上腺肿物切除术相比，后腹腔镜解剖性三层面肾上腺肿物切除术安全可行，且有明显的技术优势。
Abstract:
ObjectiveTo compare the three layers and traditional two layers separation in retroperitoneoscopic adrenalectomy for the treatment of adrenal mass.MethodsA total of 41 patients with adrenal mass underwent operations in our hospital from August 2012 to January 2016, including 21 cases of anatomical retroperitoneoscopic adrenalectomy with three layers method and 20 cases of traditional two layers method surgery. The operative time, intraoperative blood loss, postoperative hospital stay and postoperative complications were analyzed and compared between the two groups.ResultsAll the 41 surgeries were performed successfully without severe complications such as bleeding or conversion to open surgery. The clinical data of three layers method group and two layers method group were as follows: the average operation time was (125.7±18.5) min and (163.5±36.1) min, respectively (t=-4.176, P=0.001); the mean intraoperative blood loss was (18.8±16.0) ml and (34.0±17.0) ml, respectively (t=-3.787, P=0.001). There were no significant differences in postoperative hospital stay, postoperative ventilation, postoperative drainage between two layers method group and three layers method group (P>0.05).ConclusionAnatomical retroperitoneoscopic adrenalectomy is a safe and effective technique for adrenal mass, which has technique advantages.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：2014年安徽省合肥市“借转补”项目(合科2014-71（13）号)**通讯作者，E-mail：doczyb@sina.com
更新日期/Last Update: 2017-09-21