[1]王晓晶,沈周俊,祝宇,等.肾上腺小肿瘤的后腹腔镜手术治疗体会[J].中华腔镜泌尿外科杂志(电子版),2009,(04):319-323.
　WANG Xiao-jing,SHEN Zhou-Jun,ZHANG Rong-ming,et al.Retroperitoneoscopic adrenalectomy for small adrenal tumors (≤1cm)[J].,2009,(04):319-323.
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肾上腺小肿瘤的后腹腔镜手术治疗体会()
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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:
2009年04期
页码:
319-323
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Retroperitoneoscopic adrenalectomy for small adrenal tumors (≤1cm)
作者:
王晓晶; 沈周俊; 祝宇; 张荣明; 孙福康; 邵远; 芮文斌; 何威; 戴军
上海交通大学医学院附属瑞金医院泌尿外科,上海,200025
Author(s):
WANG Xiao-jing; SHEN Zhou-Jun; ZHANG Rong-ming; ZHU Yu; SUN Fu-kang; SHAO Yuan; RUI Wen-bin; HE Wei; DAI Jun
关键词:
后腹腔镜; 肾上腺切除术; 肾上腺小肿瘤
摘要:
目的 探讨肾上腺小肿瘤的后腹腔镜手术治疗体会.方法 回顾性分析2005年9月至2008年12月我院施行的389例后腹腔镜肾上腺切除术的临床资料,其中肾上腺小肿瘤96例,分成最初40例组和后期56例组.术前所有病例行CT形态定位检查.所有手术均经后腹膜入路完成.结果 96例肾上腺肿瘤平均大小0.7 cm(0.5～1.0 cm),其中原醛76例(单侧腺瘤69例、单侧皮质增生7例),无功能性腺瘤11例,库欣综合症3例,嗜铬细胞瘤2例,黑素瘤1例,髓样脂肪瘤1例,转移癌1例.4例(3.5%)中转开放手术.最初40例组的手术时间明显长于随后的56例组(P<0.01),两组术中出血量无明显差异.结论 尽管腹腔镜技术是治疗良性肾上腺肿瘤的金标准,但对于肾上腺小肿瘤,腹腔镜手术有一定难度,术中先游离寻找靠近后腹膜的肾上腺内侧支、充分游离及探查整个肾上腺组织是手术成功的关键.

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更新日期/Last Update: 1900-01-01