| 引用本文: | 魏澎涛,李琦,张寒,孙建涛,李小辉,韩兴涛,吕文伟.两种入路行腹腔镜下行解剖性巨大肾上腺肿瘤切除术的安全性和可行性比较[J].中国临床新医学,0,():-. |
| 魏澎涛.两种入路行腹腔镜下行解剖性巨大肾上腺肿瘤切除术的安全性和可行性比较[J].中国临床新医学,0,():-. |
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| 摘要: |
| 目的 比较经腹腔途径和腹膜后途径行腹腔镜下解剖性巨大肾上腺肿瘤切除术的可行性和安全性,评价其手术效果。方法 回顾性分析郑州大学附属洛阳中心医院在2010年10月至2017年5月期间收治的87例巨大肾上腺肿瘤患者的资料,其中行经腹入路解剖性肾上腺切除术47例,行腹膜后途径解剖性肾上腺切除术40例,比较两种方法的手术时间、术中失血量、术后进食恢复时间,术后住院时间等。结果 87例手术均顺利完成,均无明显手术并发症,经腹腔入路手术时间较腹膜后入路短、术中失血量较经腹膜后入路少(P<0.05)；经腹膜后途径患者术后进食恢复时间、术后住院时间较经腹腔途径患者短(P<0.05),两组患者在体重指数,肿瘤位置、大小,年龄等方面差异无统计学意义(P>0.05)。结论 两种路径均可处理肾上腺肿瘤,应根据病变性质、肿瘤大小、位置及患者的具体情况选择手术入路。#$NL关键词：腹腔镜 巨大肾上腺肿瘤 经腹腔途径 经腹膜后途径 |
| 关键词: 腹腔镜 巨大肾上腺肿瘤 经腹腔途径 经腹膜后途径 |
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| Clinical comparative study of two types of anatomic giant adrenal tumor resection under laparoscopy |
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魏澎涛
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Luoyang Central Hospital affiliated to Zhengzhou University
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| Abstract: |
| Objective To compare the feasibility and safety of transperitoneal laparoscopic and retroperitoneal approach for laparoscopic resection of giant adrenal tumors, and to evaluate the effect of laparoscopic adrenalectomy. Methods A retrospective analysis of Luoyang Central Hospital Affiliated to Zhengzhou University during October 2010 to May 2017 were 87 cases of patients with large adrenal tumors, including transabdominal dissection of 47 cases with adrenalectomy, retroperitoneal adrenalectomy for 40 cases, operative time, compare the two methods of blood loss, postoperative recovery time, postoperative hospitalization time etc.Results all the operations were completed successfully. There were no obvious complications, transperitoneal retroperitoneal surgery time is short, intraoperative blood loss is less retroperitoneal approach (P<0.05); the patients with retroperitoneal approach after eating recovery time, postoperative hospitalization time by intraperitoneal route with short (P<0.05). No significant difference between two groups in age, body mass index (P>0.05), etc. Conclusion Two approaches can be used to treat adrenal tumors. The surgical approach should be chosen according to the nature of the lesion, the size and location of the tumor and the specific conditions of the patient. |
| Key words: Laparoscopy Giant adrenal tumor Transperitoneal laparoscopic Retroperitoneal laparoscopic |
