后腹腔镜肾上腺肿瘤切除术52例临床分析

Clinical Analysis of 52 Cases of Retroperitoneal Laparoscopic Adrenalectomy

目的对52例后腹腔镜肾上腺肿瘤切除术患者进行临床分析。方法于2012年4月—2017年4月之间,方便选取52例在该院进行肾上腺肿瘤切除术的患者,对其手术过程进行回顾性分析,研究患者术后恢复情况以及有无手术后并发症发生情况。结果 52例患者均顺利通过手术,平均手术时间为(70.1±2.3)min,平均出血量为(80.7±10.1)m L,平均住院时间为(3.7±0.5)d。手术过程中,患者均未出现不良反应,以及胆、肾、肝管等损伤。手术后无伤口出血、感染患者。均无因失血过多进行输血患者,未出现服用镇痛药患者。出院后对患者进行随访,患者的身体恢复较好,各激素分泌正常,血压较为稳定。经影像学检查,无肿瘤复发以及转移患者。结论采用后腹腔镜肾上腺肿瘤切除术,手术切口以及术中出血量较少,患者手术后未出现并发症,临床效果显著,值得临床广泛推广。

Objective This paper tries to explore the clinical analysis of 52 patients with retroperitoneal laparoscopic adrenalectomy.Methods Between April 2012 and April 2017,52 patients undergoing adrenalectomy in the hospital were convenient selected and retrospectively analyzed.The postoperative recovery and the conditions of postoperative complications were explored.Results All 52 patients passed the surgery successfully.The mean operation time was(70.1±2.3)min.The average bleeding amount was(80.7±10.1)mL.The mean hospital stay was(3.7±0.5)d.During surgery,patients did not appear adverse reactions,as well as gallbladder,kidney,liver and other injuries.No wound bleeding after surgery,patients infected.No bleeding due to excessive blood transfusion patients,patients did not appear to take analgesics.Patients were followed up after discharge.The patient's body recovered better with the normal secretion of hormones and the fairly stability of blood pressure.After imaging examination,there were no tumor recurrence and metastasis of patients.Conclusion The use of retroperitoneal laparoscopic adrenalectomy,surgical incision and less blood loss,no complications after surgery,the clinical effect is significant.It is widely recommended in clinical practice.