经腹膜后单孔与多孔腹腔镜肾上腺肿瘤切除的疗效及安全性研究

Study on efficacy and safety of retroperitoneal single-port and multi-port laparoscopic adrenal tumor resection

目的探讨经腹膜后单孔腹腔镜(LESS)肾上腺肿瘤切除的疗效及安全性。方法回顾性分析该院于2015年1月至2023年3月接受多孔腹腔镜及LESS肾上腺肿瘤切除术的130例患者的临床资料,LESS组50例患者,传统腹腔镜肾上腺肿瘤切除(LA)组80例患者。收集两组患者年龄、性别、肿瘤位置、合并基础疾病、肿瘤最大径等基线资料,比较两组患者围手术期相关指标。结果LESS组与LA组手术时间[(95±52)min vs.(101±58)min]、引流管留置时间[(4.9±1.5)d vs.(6.7±1.0)d]、术后切口满意度、疼痛情况比较,差异有统计学意义(P<0.05);两组患者术中出血量[(20.2±13.2)mL vs.(25.6±11.3)mL]、住院时间[(5.9±1.3)d vs.(7.8±1.0)d]比较,差异无统计学意义(P>0.05),均无术中及术后并发症发生,LA组有1例患者中转开放手术。结论经腹膜后LESS肾上腺肿瘤切除术安全、有效,切口较多孔腹腔镜更美观。

Objective To investigate the efficacy and safety of retroperitoneal single-port laparoscopic(LESS)adrenal tumor resection.Methods The clinical data of 130 patients receiving multi-port and single-port laparoscopic adrenal tumor resection in this hospital from January 2015 to March 2023 were retrospectively analyzed.There were 50 cases in the LESS group and 80 cases in the traditional laparoscopic adrenal tumor resection(LA)group.The age,gender,tumor location,complicating underlying diseases and tumor size were collected in the two groups.The related perioperative indicators were compared between the two groups.Results The operation time[(95±52)min vs.(101±58)min],drainage tube indwelling time[(4.9±1.5)d vs.(6.7±1.0)d],postoperative incision satisfaction degree and pain situation had statistically significant differences between the LESS group and LA group(P<0.05).The intraoperative bleeding volume[(20.2±13.2)mL vs.(25.6±11.3)mL]and hospitalization duration[(5.9±1.3)d vs.(7.8±1.0)d]had no statistical differences between the two groups(P>0.05).No intraoperative and postoperative complications occurred in the two groups.There was 1 case of conversion to open operation in the LA group.Conclusion The LESS adrenal tumor resection is safe and effective,and the incision is more beautiful compared with multi-port laparoscopic operation.