侧腹入路在腹腔镜肾上腺切除术中的应用 |
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引用本文: | 盛明雄,邱剑光,王德娟,刘昌明,张家彬. 侧腹入路在腹腔镜肾上腺切除术中的应用[J]. 腹腔镜外科杂志, 2012, 17(2): 97-99 |
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作者姓名: | 盛明雄 邱剑光 王德娟 刘昌明 张家彬 |
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作者单位: | 1. 福建医科大学附属闽东医院,福建福安,355000 2. 中山大学附属第三医院 |
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摘 要: | 目的:研究侧腹入路用于腹腔镜肾上腺切除术的疗效及安全性。方法:回顾分析2008年7月至2011年6月为15例患者经侧腹入路行腹腔镜肾上腺切除术的临床资料。结果:15例手术均获成功,主动侧腹入路手术时间平均(60±25)min,术中出血量平均(50±12)ml;被动侧腹入路手术时间平均(70±22)min,术中出血量平均(55±20)ml。术中未发生大出血和周围脏器损伤等严重并发症,无一例输血。术后24 h患者下床活动,术后平均住院3 d。结论:侧腹入路结合了经腹入路和后腹入路的优点,是腹腔镜肾上腺切除术的有效入路之一。后腹入路手术损伤腹膜时可及时切开腹膜中转为侧腹入路。
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关 键 词: | 肾上腺切除术 腹腔镜检查 侧腹入路 病例报告 |
Trans-flank approach for laparoscopic adrenalectomy |
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Affiliation: | SHENG Ming-xiong1,QIU Jian-guang2,WANG De-juan2,et al.1.Department of Urology,Mindong Hospital Affiliated to Fujian Medical University,Fu’an 355000,China;2.Third Affiliated Hospital of Sun Yat-sen University |
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Abstract: | Objective:To evaluate the efficacy and safety of trans-flank approach for laparoscopic adrenalectomy.Methods:The clinical data of 15 patients who underwent laparoscopic adrenalectomy trans-flank peritoneal approach from Jul.2008 to Jun.2011 in our department were retrospectively analyzed.Results:All operations were successfully performed.The mean operative time of initiative group was(60± 25) min,and blood loss was(50±12) ml.The mean operative time of passive group was(70± 22) min,and blood loss was(55±20) ml.There were no serious complications or blood transfusion.The average time to ambulation was 24 hours,and mean postoperative hospital stay was 3 days.Conclusions:The trans-flank approach integrates merits of transperitoneal approach and retroperitoneal approach,and it is an effective approach for laparoscopic adrenalectomy.When peritoneum is injured in retroperitoneal laparoscopic surgery,it is a good choice to open peritoneum and convert to passive trans-flank approach. |
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Keywords: | Adrenalectomy Laparoscopy Trans flank peritoneal approach Case reports |
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