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[腹腔镜肾上腺切除术治疗肾上腺肿瘤患者的潜力]

[Potentialities of laparoscopic adrenalectomy in treatment of patients with adrenal tumors].

作者信息

Cheren'ko S M, Larin A S, Tovkaĭ A A

出版信息

Vestn Khir Im I I Grek. 2006;165(2):41-4.

Abstract

Experiences with laparoscopic adrenalectomies in the clinic were analyzed. The laparoscopic method was used in 47 out of 252 adrenalectomies followed by only 1 mild complication and 3 conversions. A comparison of open and laparoscopic adrenalectomies has revealed advantages of the endoscopic method with respect of tolerance of the procedure, its safety and duration of the rehabilitation period. The technique and indications to adranalectomy were analyzed. The authors emphasize the advantages of the transperitoneal approach and good perspectives of laparoscopic adrenalectomy in almost all cases of benign and non-invasive adrenal tumors.

摘要

对临床中腹腔镜肾上腺切除术的经验进行了分析。在252例肾上腺切除术中,47例采用了腹腔镜手术方法,术后仅出现1例轻度并发症和3例中转开腹情况。开放性肾上腺切除术与腹腔镜肾上腺切除术的比较显示,内镜手术方法在手术耐受性、安全性及康复期时长方面具有优势。分析了肾上腺切除术的技术和适应证。作者强调经腹途径的优势以及腹腔镜肾上腺切除术在几乎所有良性和非侵袭性肾上腺肿瘤病例中的良好前景。

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