[1]郑浩,李怀富,郑小青,等.后腹腔镜肾上腺切除术的临床分析[J].中华腔镜泌尿外科杂志(电子版),2010,(02):122-125.
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后腹腔镜肾上腺切除术的临床分析()
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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:
期数:
2010年02期
页码:
122-125
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Retroperitoneal laparoscopic adrenalectomy
作者:
郑浩; 李怀富; 郑小青; 李志军; 刘自卫; 郭振宇; 孙华宾; 桂西青; 詹鸣
中山大学附属第五医院泌尿外科,珠海市,519000
关键词:
后腹腔镜; 肾上腺肿瘤; 切除术
摘要:
目的 探讨后腹腔镜切除肾上腺病变的手术方法和效果.方法 对23例肾上腺病变患者行后腹腔镜肾上腺切除术.经腰部置入3个Trocar,手指法建立后腹膜气腹,建立腹膜后操作通道.游离出病变肾上腺达中央静脉后以钛夹夹闭后切断,将切除的肾上腺置入标本袋后取出. 结果本组除2例改为开放手术外均获得成功,手术时间55～300 min,平均70 min.术中出血10～100 ml,平均30 ml,所有病例均未输血.2例中转开放手术,均为腹膜破裂致后腹腔显露困难所致.无大出血、感染、腹腔脏器损伤等并发症发生.随访1～24个月,平均8个月,未发现肿瘤复发和转移.结论 后腹腔镜肾上腺切除术是治疗肾上腺疾病的一种微创、安全、有效的手术方式.

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更新日期/Last Update: 1900-01-01