经腹腹腔镜解剖性肾上腺切除术和经腹腹腔镜肾上腺切除术的优劣差异

Advantages and Disadvantages of Transabdominal Laparoscopic Anatomical Adrenalectomy and Transabdominal Laparoscopic Adrenalectomy

目的分析经腹腹腔镜解剖性肾上腺切除术和经腹腹腔镜肾上腺切除术的优劣差异。方法选取2016年5月～2018年4月本院治疗的194例肾上腺疾病患者,随机数字表法分为观察组和对照组,各97例,观察组患者给予经腹腹腔镜解剖性肾上腺切除术,对照组患者给予经腹腹腔镜肾上腺切除术。记录并比较两组患者的手术指标以及手术成功率、并发症发生率。结果观察组患者的手术指标(确定肿瘤位置时间、手术时间、术中出血量、术后平均住院时间、肠道恢复时间)优于对照组,差异具有统计学意义(P <0.05);两组患者的手术成功率比较,差异无统计学意义(P> 0.05),观察组患者的并发症发生率低于对照组,差异具有统计学意义(P <0.05)。结论经腹腹腔镜解剖性肾上腺切除术术中出血量少,手术时间短,并发症较少,可以作为一种良好的手术方案。

Objective To analyze the difference between superior and inferior laparoscopic anatomical adrenalectomy and transabdominal laparoscopic adrenalectomy.Methods A total of 194 patients with adrenal diseases treated in our hospital from May 2016 to April 2018 were randomly divided into observation group and control group(97 cases in each group).Patients in the observation group were given laparoscopic anatomical adrenalectomy,while patients in the control group received a retroperitoneal laparoscopic adrenalectomy.The surgical indexes,the success rate of surgery and the incidence of complications were recorded and compared between both groups.Results The surgical parameters(determination of tumor location time,operation time,intraoperative blood loss,average postoperative hospital stay,and intestinal recovery time)were significantly better in the observation group than in the control group(P<0.05).The success rate of surgery was not statistically significant(P>0.05).The complication rate of the observation group was 1.03%,which was significantly lower than that of the control group(P<0.05).Conclusions Abdominal laparoscopic anatomical adrenalectomy has less bleeding,shorter operation time and fewer complications,which can be used as a good surgical plan.