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| 单切口经腹膜内途径腹腔镜下切除肾上腺肿瘤的初步尝试 |
| 徐丹枫*,李尧,高轶,阴雷,车建平,任吉忠,刘玉杉,姚亚成,崔心刚,腾怀宁,陈杰,王军凯,徐煜,彭丽君,闵志廉 |
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| (第二军医大学长征医院泌尿外科,解放军泌尿外科研究所,上海 200003) |
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| 摘要: |
| 目的:初步尝试采用单切口经腹膜内腹腔镜技术行肾上腺肿瘤切除,探讨其临床疗效及安全性,为进一步临床应用奠定基础。方法:采用经腹腔内途径单切口腹腔镜技术对3例肾上腺肿瘤患者行肿瘤切除术,术中选择腋前线肋缘下3 cm切口,切口内置入3枚Trocar套管针,手术过程中使用 Cambridge Endo头端可弯腹腔镜器械、超声刀技术、Hem-o-lok等对3例肾上腺肿瘤进行切除。结果:3例手术均取得成功,无中转开放或术中增加Trocar套管针辅助。手术时间分别为75、116、135 min,平均（108.7±30.7）min,术中出血10、20、30 ml,平均（20±10）ml,术后1 d拔除胃管、导尿管,术后3 d拔除腹腔引流管,术后住院时间均为4 d。结论:单切口经腹膜内途径腹腔镜下肾上腺肿瘤切除术具有创伤小、出血少、安全性高、术后住院时间短的优点,但手术操作难度较大。 |
| 关键词: 单切口 腹腔镜检查 腹腔内途径 肾上腺肿瘤 |
| DOI：10.3724/SP.J.1008.2009.01158 |
| 投稿时间：2009-07-27修订日期：2009-09-30 |
| 基金项目: |
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| Single incision for trans-peritoneal laparoscopic adrenalectomy in treatment of adrenal tumors |
| XU Dan-feng* ,LI Yao,GAO Yi,YIN Lei,CHE Jian-ping,REN Ji-zhong,LIU Yu-shan,YAO Ya-cheng,CUI Xin-gang,TENG Huai-ning,CHEN Jie,WANG Jun-kai,XU Yu,PENG Li-jun,MIN Zhi-lian |
| (Department of Urology,Urology Center of PLA,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China) |
| Abstract: |
| Objective:To perform trans-peritoneal laparoscopic adrenalectomy via a single incision in treatment of adrenal tumors,and to discuss its clinical outcome and safety.Methods:Single incision trans-peritoneal laparoscopic adrenalectomy was used in treatment of three patients with adrenal tumors.The incision was made 3 cm below the costal margin of anterior axillary line; three Tocars were placed in the cut.The instruments used included single port access,CUSA,Hem-o-lok,etc..Results:The three operations were all successful,and there were no conversion to open procedure or a need for extra Ttrocars.The operating time periods were 75,116,and 135 min,with a mean of （108.7±30.7）min.The perioperative blood losses were 10,20,and 30 ml,with a mean of （20±10）ml.The gastric canal and ureteral catheter were withdrew one day after operation,and the drainage tube was withdrew 3 d after operation.The mean postoperative hospital stay was 4 d.Conclusion: Single incision trans-peritoneal laparoscopic adrenalectomy has the advantage of little trauma,less blood loss,satisfactory safety,and prompt postoperative recovery,but is difficult to manage. |
| Key words: single incision laparoscopy peritoneal adrenal gland neoplasms |
