[1]刘存兵,姜有涛,艾克拜尔·吾曼尔,等.后腹腔镜与开放手术切除巨大肾上腺肿瘤的效果分析[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):13-16.[doi:10.3877/cma.j.issn.1674-3253.2017.01.004 ]
　Liu Cunbing,Jiang Youtao,Aikebaier·Wumaner,et al.Efficacy of retroperitoneal laparoscopic and open adrenalectomy for huge adrenal tumors[J].,2017,11(01):13-16.[doi:10.3877/cma.j.issn.1674-3253.2017.01.004 ]
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后腹腔镜与开放手术切除巨大肾上腺肿瘤的效果分析()
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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:
11
期数:
2017年01期
页码:
13-16
栏目:
临床研究
出版日期:
2017-03-06

文章信息/Info

Title:
Efficacy of retroperitoneal laparoscopic and open adrenalectomy for huge adrenal tumors
作者:
刘存兵1; 姜有涛2; 艾克拜尔·吾曼尔2; 梁高照1; 汪清1
518100 深圳市第八人民医院泌尿外科（南方医科大学附属深圳宝安医院）1；830001 乌鲁木齐，新疆维吾尔自治区人民医院泌尿外科2
Author(s):
Liu Cunbing1;  Jiang Youtao2;  Aikebaier·Wumaner2;  Liang Gaozhao1;  Wang Qing1.
Department of Urology, the Eighth People's Hospital of Shenzhen, Shenzhen 518101, China; 2Department of Urology, People's Hospital of Xinjiang Uyqhu Autonomous Region, Urumqi 830001, china
关键词:
肾上腺肿瘤;  肾上腺切除术;  腹腔镜;  开放手术
DOI:
10.3877/cma.j.issn.1674-3253.2017.01.004
摘要:
目的 比较后腹腔镜与开放手术治疗巨大肾上腺肿瘤（直径≥6 cm）的异同，探究其临床疗效。方法 回顾性分析2009年1月至2015年12月63例巨大肾上腺肿瘤患者施行后腹腔镜下肾上腺肿瘤切除术（n=23）与开放手术切除肾上腺肿瘤（n=40）的临床资料，对比分析两组的手术时间、术中出血量、术中输血量、肿瘤大小及术后住院时间等。结果 63例均顺利完成手术，后腹腔镜手术无中转开放。两种术式患者在性别、年龄、肿瘤侧别等差异无统计学意义（P>0.05），而肿瘤大小、手术时间、术中出血量及术后住院时间相比差异有统计学意义（P<0.05）。术后病理示嗜铬细胞瘤22例（34.92%），皮脂腺瘤9例（14.29%），肾上腺髓质脂肪瘤7例（11.11%），肾上腺囊肿6例（9.52%），恶性肿瘤9例（14.29%），其他性质肿瘤10例（15.87%）。结论 对于有着丰富腹腔镜手术经验且操作技术娴熟的外科医师来说，肾上腺肿瘤直径是否为6 cm不再是决定手术方式的绝对限制条件；后腹腔镜下肾上腺肿瘤切除术是可行且安全有效的，其创伤小，恢复快，值得在临床上推广。

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备注/Memo

备注/Memo:
通讯作者：汪清，Email：wangqing1570@126.com
更新日期/Last Update: 2017-02-20