后腹腔镜与开放手术行肾上腺肿瘤切除术的疗效比较(附28例报告)

目的:评价后腹腔镜下手术与传统开放手术行肾上腺肿瘤切除术的疗效。方法:分析我院采用后腹腔镜下肾上腺肿瘤切除术14例及开放手术行肾上腺肿瘤切除术14例的患者临床资料,分别对两组手术的具体资料及结果进行比较和分析。结果:后腹腔镜组的手术时间、术中平均出血量、术中胸膜损伤、术后平均出血量、术后胃肠功能恢复时间优于开放手术组,差异具有统计学意义(P<0.05)。结论:后腹腔镜肾上腺肿瘤切除手术具有手术创伤小、术中出血少、术后恢复快等优点,是肾上腺肿瘤切除手术的金标准。

Objective： Evaluation of laparoscopic surgery and conventional open surgery line adrenalectomy effect. Methods： Used in our hospital after laparoscopic adrenalectomy and open surgery in 14 eases the line adrenalectomy clinical data of 14 eases, respectively, specific information on two groups of surgery and the results were compared and analyzed. Results：0f laparoscopic group, operative time, mean blood loss, intraoperative pleural injury and mean blood loss, postoperative intestinal function recovery time than open surgery group, the difference was significant （ P 〈 0. 05 ）. Conclusion： Retropetitoneal laparoseopie adrenaleetomy for adrenal tumors and minimally invasive surgery, less bleeding, rapid postoperative recovery, is the surgical removal of adrenal tumors, the gold standard.