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后腹腔镜与开放性肾上腺嗜铬细胞瘤手术的疗效比较 被引量:1

Comparison of Clinical Efficacy of Retroperitoneal Laparoscopic Surgery and Open Adrenalectomy for Adrenal Pheochromocytoma
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摘要 目的评价后腹腔镜肾上腺手术治疗肾上腺嗜铬细胞瘤的效果。方法对行后腹腔镜肾上腺嗜铬细胞瘤手术患者28例(后腹腔镜组)与同期开放性肾上腺嗜铬细胞瘤手术患者15例(开放手术组)的临床效果进行比较。结果后腹腔镜组在平均手术时间、平均失血量、术后止痛剂用量、术后下床活动时间及术后住院天数均显著优于开放手术组,无1例需要输血和发现严重并发症。术后平均随访11个月,全部病例均达以治疗的目的 ,无远期手术并发症发生。结论后腹腔镜肾上腺嗜铬细胞瘤手术显著优于开放手术,是一种安全有效的方法。 Objective To investgate the clinical efficacy of retroperitoneal laparoscopic excision of adrenal pheochromocytoma. Methods Comparison of clinical efficacy of retroperitoneal lapafoscopic surgery and open adrenalectomy for adrenal pheochromocytoma. 28 patients underwent retroperitoneal laparoscopic excision (retroperitoneal laparoscopic group), while open surgery of adrenal pheochromocytoma was performed on 15 patients (open surgery group). Results Two groups were successfully performed. None need blood transfusion. Retroperitoneal laparoscopy had advantages to open surgery in the average of operation time, dosage of paregoric, intraoperative blood loss, the time out of bed, active time of post-operation and in-hospital days. At final follow-up (mean, 11 months), we do not find long-term complication. Conclusion Retroperitoneal laparoscopic excision is a safe and effective method in treat adrenal pheochromocytoma.
作者 程勇
出处 《中国医药指南》 2011年第26期26-27,共2页 Guide of China Medicine
关键词 肾上腺嗜铬细胞瘤 腹腔镜 Adrenal pheochromoeytoma Laparoscopy
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