[1]李志刚,范涛,臧光辉,等.经腹与腹膜后入路肾上腺切除术的比较[J].中华腔镜泌尿外科杂志(电子版),2018,12(03):172-176.[doi:10.3877/cma.j.issn.1674-3253.2018.03.007 ]
　Li Zhigang,Fan Tao,Zang Guanghui,et al.Clinical comparison of two approaches to laparoscopic adrenalectomy: transperitoneal versus retroperitoneal approach[J].,2018,12(03):172-176.[doi:10.3877/cma.j.issn.1674-3253.2018.03.007 ]
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经腹与腹膜后入路肾上腺切除术的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
12卷
期数:
2018年03期
页码:
172-176
栏目:
临床研究
出版日期:
2018-06-20

文章信息/Info

Title:
Clinical comparison of two approaches to laparoscopic adrenalectomy: transperitoneal versus retroperitoneal approach
作者:
李志刚; 范涛; 臧光辉; 韩从辉; 贺厚光
221009 江苏，东南大学医学院附属徐州医院泌尿外科
Author(s):
Li Zhigang;  Fan Tao;  Zang Guanghui;  Han Conghui;  He Houguang.
Department of Urology, Xuzhou Hospital Affilated to Medical College of Southeast University, Jiangsu 221009, China
关键词:
腹腔镜; 肾上腺切除术; 入路
DOI:
10.3877/cma.j.issn.1674-3253.2018.03.007
摘要:
目的比较经腹腔肾上腺切除术（LTA）与腹膜后肾上腺切除术（LRA）两种不同入路腹腔镜肾上腺切除术的临床疗效。方法回顾性分析2012年1月至2016年12月89例在我院泌尿外科施行腹腔镜肾上腺肿瘤切除术患者的临床资料，对两种不同入路肾上腺切除术患者手术时间、术中出血量、肿瘤大小、术后进食时间和平均住院时间进行比较分析。结果89例患者中采用LTA入路 42例，LRA入路 47例。两组患者性别、年龄、腹部手术、外伤史、口服降压药物史、术前血压、心率、肿瘤部位、临床诊断及肿瘤大小差异均无统计学意义（P>0.05）。LRA组平均手术时间短于LTA[（78±17）mins vs （90±21） mins， P=0.0047]。而 LRA入路的右侧肾上腺切除平均所需时间较LTA入路更短 [（80±14）vs（93±10），P<0.001]，两组左侧肾上腺切除所需时间差异无统计学意义 [（84±14） vs （87±11），P=0.144]。两组术中出血量 [（38±25）ml vs （44±32）ml，P=0.343]、肿瘤大小均无统计学差异（P>0.05），而术后进食时间及住院天数差异有统计学意义。结论LTA和 LRA入路肾上腺肿瘤切除均可达到安全、满意的疗效。采用 LRA术式平均手术时间短于 LTA术式，术后患者恢复较 LTA组快。

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备注/Memo

备注/Memo:
基金项目：江苏省科技厅-社会发展-临床前沿技术(BE2017635)
通讯作者：李志刚，Emial： zhigangl75@126.com
更新日期/Last Update: 2018-06-20