[1]王家伟,陈弋生,姚友生,等.后腹腔镜解剖性肾上腺肿瘤切除术的治疗体会:附46例报告[J].中华腔镜泌尿外科杂志(电子版),2012,(05):35-37.
　WANG Jia-wei,CHEN Yi-sheng,YAO You-sheng,et al.Retroperitoneal laparoscopic adrenalectomy for adrenal tumor: report of 46 cases[J].,2012,(05):35-37.
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后腹腔镜解剖性肾上腺肿瘤切除术的治疗体会:附46例报告()
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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:
2012年05期
页码:
35-37
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Retroperitoneal laparoscopic adrenalectomy for adrenal tumor: report of 46 cases
作者:
王家伟; 陈弋生; 姚友生; 黄健; 朱光标; 陶凌松; 徐磊
241000,安徽省芜湖市第二人民医院泌尿外科，中山大学附属孙逸仙纪念医院,广州,510120
Author(s):
WANG Jia-wei; CHEN Yi-sheng; YAO You-sheng; HUANG Jian; ZHU Guang-biao; TAO Ling-song; XU Lei
关键词:
肾上腺手术; 后腹腔镜; 解剖
摘要:
目的 探讨后腹腔镜下肾上腺手术解剖定位的方法及临床应用价值.方法 对2009年9月至2011年11月本院所收46例肾上腺肿瘤患者施行后腹腔镜下切除术,其中无功能腺瘤17例,原发性醛固酮增多症13例,皮质醇增多症12例,嗜铬细胞瘤4例.常规制备后腹腔操作空间,打开Gerota筋膜,转向后壁沿腰大肌向上分离至项壁膈肌,分离前壁腹膜肾筋膜与脂肪囊间隙,沿肾上极平面横断分离寻找肾上腺,根据术中情况行肾上腺肿瘤切除或全切除术.结果 46例均成功施行腹腔镜下切除,其中1例因与下腔静脉粘连严重而部分旷置,平均手术时间83±21 min,平均出血量42±15 ml.1例(2.1％)术中胸膜穿孔,1例(2.1％)损伤下腔静脉,均在腹腔镜下完成修补.平均术后住院时间5.2 d,随访3 ～27个月,无远期并发症,46例良性肿瘤未见复发.结论 沿着正确的解剖平面寻找分离肾上腺具有快速、出血少、定位准确的优点,后腹腔镜下肾上腺手术安全、创伤小、恢复快,应为肾上腺手术的首选方法.

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更新日期/Last Update: 1900-01-01