[1]郑军华,彭波,许云飞,等.腹腔镜肾上腺肿瘤切除术272例报告[J].中华腔镜泌尿外科杂志(电子版),2009,(06):469.
 Zheng Jun-hua,Peng Bo,Xu Yun-fei,et al.Laparoscopic adrenalectomy: report of 272 cases[J].,2009,(06):469.
点击复制

腹腔镜肾上腺肿瘤切除术272例报告()
分享到:

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06期
页码:
469
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Laparoscopic adrenalectomy: report of 272 cases
作者:
郑军华彭波许云飞徐丹枫高轶崔心刚
同济大学附属第十人民医院泌尿外科,上海,200072,上海第二军医大学长征医院,上海,200003
Author(s):
Zheng Jun-huaPeng BoXu Yun-feiXu Dan-fengGao YiCui Xin-gang
关键词:
腹腔镜肾上腺肿瘤手术
摘要:
目的 总结腹腔镜手术治疗肾上腺肿瘤的经验.方法 2001年8月至2007年10月,我们采用腹腔镜手术治疗肾上腺肿瘤272例.其中男175例,女97例.年龄21~74岁,平均45±2岁.肾上腺肿瘤直径0.4~18 cm. 结果本组272例,行腹腔镜肾上腺肿瘤切除术284例次,其中腹腔镜手术切除成功266例,有6例次(2.96%)中转开放手术.手术时间45~275 min,平均135±35 min.术中出血40 ml~250 ml,平均75±25 ml.术后住院时间7~10 d.手术并发症为腔静脉损伤1例,胸膜损伤2例,腰部血肿8例,Trocar穿刺口脂肪液化6例. 结论腹腔镜手术治疗肾上腺肿瘤创伤小,并发症少,安全有效,患者术后恢复快.对于直径大于6 cm的肿瘤也可采用腹腔镜手术切除,但要求手术医师有比较丰富的腹腔镜手术技巧和经验.

相似文献/References:

[1]高新,邱剑光,周祥福,等.保留控尿功能的腹腔镜前列腺癌根治术[J].中华腔镜泌尿外科杂志(电子版),2007,(01):4.
 GAO Xin,QIU Jing-guang,ZHOU Xiang-fu,et al.Continence-Sparing Laparoscopic Radical Prostatectomy[J].,2007,(06):4.
[2]高新,司徒杰,黄文涛,等.腹腔镜阴道前后壁补片治疗女性盆腔脏器脱垂的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2007,(01):8.
 GAO Xin,SITU Jie,HUANG Wen-tao,et al.Comparison of laparoscopy sacrocolpopexy with anterior vaginal suspension for the treatment of vaginal vault prolapse[J].,2007,(06):8.
[3]黄健,韩金利,许可慰,等.三套管法后腹腔镜下肾部分切除术[J].中华腔镜泌尿外科杂志(电子版),2007,(01):11.
 HUANG Jian,HAN Jin-li,XU Ke-wei,et al.Retroperitoneal laparoscopic partial nephrectomy through three ports[J].,2007,(06):11.
[4]陈凌武,王声政,陈炜,等.手辅式腹腔镜在复杂的根治性膀胱切除中的应用[J].中华腔镜泌尿外科杂志(电子版),2007,(01):15.
 CHEN Ling-wu,WANG Sheng-zheng,CHEN Wei,et al.Effect of the hand assisted laparoscopic radical cystectomy in technically challenging cases[J].,2007,(06):15.
[5]刘春晓,郑少波,徐亚文,等.腹腔镜下根治性全膀胱切除术100例总结[J].中华腔镜泌尿外科杂志(电子版),2007,(01):19.
 LIU Chun-xiao,ZHENG Shao-bo,XU Ya-wen,et al.Laparoscopic radical cystectomy (report of 100 cases)[J].,2007,(06):19.
[6]周建华,高新,蔡育彬,等.腹腔镜前列腺癌根治术126例3年随访结果[J].中华腔镜泌尿外科杂志(电子版),2007,(01):22.
 ZHOU Jian-hua,GAO Xin,CAI Yu-bin,et al.Results of study of 126 cases underwent laparoscopic radical Prostatectomy during three years' follow-up[J].,2007,(06):22.
[7]莫曾南,杨占斌,白先忠.腹腔镜诊治未触及隐睾21例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(01):27.
 MO Zeng-nan,YANG Zhan-bin,BIA Xian-zhong.Laparoscopic diagnosis and treatment of nonpalpable testis (21 cases report)[J].,2007,(06):27.
[8]刘吉元,林瑜,刘扬,等.经后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿[J].中华腔镜泌尿外科杂志(电子版),2007,(01):33.
 LIU Ji-yuan,LIN Yu,LIU Yang,et al.Retroperitonescopic ligation of renal lymphatic vessels for the treatment of chyluria[J].,2007,(06):33.
[9]陈光,朱光炜,罗建仕,等.腹腔镜腹膜后淋巴结切除术在睾丸恶性肿瘤治疗中的应用价值[J].中华腔镜泌尿外科杂志(电子版),2007,(01):36.
 CHEN Guang,ZHU Guang-Wei,LOU Jian-shi,et al.laparoscopic retropenitoneal lymph node dissection in the treatment of testicular tumor[J].,2007,(06):36.
[10]唐松林,周祥福,温机灵.应用CT探讨平卧位经皮肾穿刺结肠的损伤几率[J].中华腔镜泌尿外科杂志(电子版),2007,(01):51.
 TANG Song-lin,ZHOU Xiang-fu,WEN Ji-ling.The risk of colon injury of percutaneous nephrostomy in supine position as shown by computed tomography[J].,2007,(06):51.
[11]张华,徐洪,刘青峰,等.后腹腔镜技术治疗肾上腺肿物22例报告[J].中华腔镜泌尿外科杂志(电子版),2010,(03):214.
 ZHANG Hua,XU Hong,LIU Qing-feng,et al.Retroperitoneal laparoscopic surgery for adrenal disease: a report of 22 cases[J].,2010,(06):214.
[12]黎卫,李志坚.超声刀与高频电刀在腹腔镜肾上腺肿瘤切除术应用中的比较[J].中华腔镜泌尿外科杂志(电子版),2011,(05):408.
 LI Wei,LI Zhi-jian.The application of ultrasonic scalpel in laparoscopic adrenalectomy[J].,2011,(06):408.
[13]蔡畅青,范翰共,黄惠玲,等.基层医院后腹腔镜肾上腺肿瘤切除术的体会和疗效[J].中华腔镜泌尿外科杂志(电子版),2012,(04):281.
 CAI Chang-qing,FAN Han-gong,HUANG Hui-ling,et al.The effect of laparoscopic adrenalectomy for adrenal tumor in primary hospital[J].,2012,(06):281.
[14]刘鹏,李莹莹,袁荫田,等.肾上腺髓脂瘤的诊断及后腹腔镜手术治疗体会:附26例报告[J].中华腔镜泌尿外科杂志(电子版),2013,(02):109.
 LIU Peng,LI Ying-ying,YUAN Yin-tian,et al.The diagnosis and treatment of adrenal myelolipoma with retro-plaparoscopic surgery: Report of 26 cases[J].,2013,(06):109.
[15]王亮 张峰 李黎明.后腹腔镜手术治疗肾上腺皮质嗜酸细胞腺瘤的可行性及安全性[J].中华腔镜泌尿外科杂志(电子版),2015,(05):363.[doi:10.3877/cma.j.issn.1674-3253.2015.05.014 ]
 Wang Liang,Zhang Feng Li Liming..The feasibility and safety of laparoscopic surgery for adrenal oncocytoma[J].,2015,(06):363.[doi:10.3877/cma.j.issn.1674-3253.2015.05.014 ]
[16]程文 傅点邢潇潇 位志峰 徐锋 田丰 章丹 张征宇 葛京平 周文泉 高建平.后腹腔镜下优先阻断肾上腺中央静脉并机械切除肾上腺肿瘤术式的临床价值[J].中华腔镜泌尿外科杂志(电子版),2015,(04):282.[doi:10.3877/cma.j.issn.1674-3253.2015.04.012 ]
 Cheng Wen,Fu Dian,Xing Xiaoxiao,et al.Priority blocking adrenal central vein and mechanical resection of adrenal tumor surgery in retroperitoneal laparoscopic surgery[J].,2015,(06):282.[doi:10.3877/cma.j.issn.1674-3253.2015.04.012 ]

备注/Memo

备注/Memo:
上海市科委医学引导项目(074119618)
更新日期/Last Update: 1900-01-01