腹腔镜肾上腺切除术与开放手术的对比研究

Comparative evaluation of laparoscopic and open surgical adrenalectomy

目的:评价腹腔镜肾上腺切除术的临床效果。方法:肾上腺切除术118例,其中行腹腔镜肾上腺切除术48例(A组),开放性肾上腺切除术70例(B组)。对两组的临床疗效、术后恢复及并发症等进行对比研究。结果:A组术中出血量(39.2±20.4)ml、术后(27.2±13.8)h肠功能恢复、(28.0±12.0)h下床活动、应用止痛药杜冷丁30人次、术后住院(4.8±2.9)d,明显优于B组,差异有显著性意义(P<0.05)。B组手术时间(104minvs140min)优于A组,差异有显著性意义(P<0.05)。A组并发症明显少于B组。结论:腹腔镜肾上腺切除术与开放手术相比,疗效相当,除手术时间略长外,创伤小、痛苦少、术后恢复快、并发症少。

Objective： To compare the clinical outcomes of laparoscopic adrenalectomy with open surgical adrenalectomy. Methods： A total of 118 patients were included. Laparoscopic adrenalectomy were performed in 48 cases （Group A） and open surgical adrenalectomy were performed in 70 cases （Group B）. The therapeutic effectives, postoperative recovery and complications were compared between Group A and Group B. Results： The analysis showed that the intra- operative bleeding volume （39.2 ± 20.4）ml, the postoperative intesinal function recovery （ 27.2 ± 13.8 ） h, time to ambulation （28.0 ± 12.0） h, use of antalgesic （70.5 ± 20.4） mg, postoperative hospital stay （4.4 ± 2.9）d and incidence of cinplications with Group A were significantly superior to those with Group B （P 〈 0. 05 ） ; While operating time with Group B were less than those with Group A （P 〈 0. 05 ）Conclusions： As compared with open surgical adrenalectomy, laparoscopic adrenalectomy has the advantages of minimal invasion, less suffering, quicker recovery and less complications except for relatively longer operating time.