[1]吴刚,张尧,叶锦,等.经脐单孔腹腔镜下肾上腺全切除术的初步探讨[J].中华腔镜泌尿外科杂志(电子版),2010,(02):90-93.
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经脐单孔腹腔镜下肾上腺全切除术的初步探讨()
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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:
90-93
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The initial experience of laparoscopic single-site transumbilical adrenalectomy
作者:
吴刚; 张尧; 叶锦; 王刚; 罗勇; 王鹏; 周波; 靳风烁
第三军医大学大坪医院泌尿外科,重庆,400042
关键词:
腹腔镜; 单孔; 胚胎性自然腔道腔镜手术; 肾上腺切除术
摘要:
目的 探讨经脐单孔腹腔镜下肾上腺全切除术的可行性及安全性.方法 采用经脐单孔三通道入路,对6例肾上腺腺瘤、4例肾上腺增生患者行经脐单孔腹腔镜下肾上腺全切除术.其中男性3例,女性7例,平均年龄43.5岁,平均体重指数24.56.所有患者于肚脐处作一2～3 cm切口,置入1个5 mm 和2个10 mm穿刺器,穿刺器之间采用医用橡胶手套固定防止漏气.手术操作通过可弯钳及电凝钩并配合超声刀完成.肾上腺中央静脉用Hem-o-lok结扎并切断,标本放入标本袋后经切口取出. 结果 10例手术均取得成功,除2例右侧肾上腺患者于肋缘下另加了一个3 mm穿刺器外,其余患者均未中转开放、未改传统腹腔镜手术及另加穿刺器.手术时间65～145 min,平均85 min;出血量20～110 ml,平均56 ml;术后当天即可下床活动,肚脐仅留一2～3 cm大小的手术疤痕. 结论经脐单孔腹腔镜下肾上腺全切除术安全可行,切口美观,具有较好的微创效果,远期的临床效果需要进一步观察.

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更新日期/Last Update: 1900-01-01