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RETROPERITONEAL LAPAROSCOPIC SURGERY FOR ADRENAL DISEASES (REPORT OF 136 CASES)
作者姓名:Qiu Shaopeng  Tang Min  Chen Junxing  Urology
作者单位:Qiu Shaopeng,Tang Min,Chen Junxing,et al. Urology Department,The First Affiliated Hospital,Sun Yat-sen University of Medical Sciences,Guangzhou 510080
摘    要:Sincethefirstlaparoscopyadrenalectomywasperformedin 1 992 1] ,thisapproachhasbeenexpand edsignificantly ,morethan 1 0 0 0casesoflaparoscopyadrenalectomyreportedintheworldliterature2 ] .SinceApril1 9971 3 6patientssufferingfromadrenaldisordershavebeenunderwentretroper…


RETROPERITONEAL LAPAROSCOPIC SURGERY FOR ADRENAL DISEASES (REPORT OF 136 CASES)
Qiu Shaopeng,Tang Min,Chen Junxing,et al. Urology.RETROPERITONEAL LAPAROSCOPIC SURGERY FOR ADRENAL DISEASES (REPORT OF 136 CASES)[J].China Journal of Endoscopy,2003,9(1):1-3.
Authors:Qiu Shaopeng  Tang Min  Chen Junxing
Abstract:Objective: To summarize experiences in 136 cases of retroperitoneal laparoscopic surgery. Methods:From April 1997 to May 2002, retroperitoneal laparoscopic surgery were performed for 136 cases of adrenal dis-eases. There were 63 aldosterone- producing adenoma, 22 adrenalcortical adenoma, 39 nonfunctional adrenal tu-mor, 7 adrenal cyst and 5 phenochromocytoma. Results: Except for one case converts to open surgery, success hasbeen achieved in all cases without major complications. Intraoperative blood loss was 76 + 32ml without blood trans-fusion. Postoperative hospital stay was 6 + 3 days. There were statistical differences among these indices when com-paring to those of open surgery for 126 cases with adrenal diseases( P < 0.05). But operative time was little longer inlaparoscopic group than in group of open surgery(P<0.05) ,whereas it has been changed to similar in those recentcases. Conclusion:Retroperitoneal laparoscopic surgery was less traumatic to the patients, with less postoperative dis-comfort and quicker recovery and should be considered the first choice of therapy for adrenal disorders.
Keywords:Laparoscopy  Adrenopathy  Adrenal Neoplasma
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