摘要
目的 评价超声止血刀 (LCS)在腹腔镜肾上腺部分切除术中的作用。方法 1 2例患者 (肾上腺皮质腺瘤 1 1例 ,原发性肾上腺皮质增生 1例 ) ,采用LCS行后腹腔镜肾上腺部分切除术。结果 所有手术均获成功 ,手术时间 32～ 67分钟 ,术中出血 (2 4 7± 1 6 3)ml;术后住院天数为 (4 1± 1 6)天。手术结束血气分析正常 ,术后随诊 2～ 1 2个月 ,无肿瘤复发及残余肿瘤 ,肾上腺疾病临床症状、体征改善。结论 后腹腔镜肾上腺部分切除术中 ,LCS切割止血可靠 ,无电传导性损伤 。
Objective To evaluate the efficacy of the laparosonic coagulating shears(LCS)for retroperitoneoscopic partial adrenalectomy.Methods 12 patients (11 cases of cortical adenomas,1 cases of primary adrenocorticohyperplasia)received retroperitoneoscopic partial adrenalectomy using LCS.Results All procedures were completed as planned.The operating time was 32～67min,blood loss was (24 7±16 3)ml,hospital stay was (4 1±1 6)days,and all the patients recovered uneventfully.At a follow up,no residual tumor was detected.Conclusion Retroperitoneoscopic partial adrenalectomy is technically feasible by means of LCS,and has the advantage of preserving adrenocortical function and of rapid postoperative recovery without electric damage.
出处
《江苏医药》
CAS
CSCD
北大核心
2002年第6期403-404,共2页
Jiangsu Medical Journal
关键词
肾上腺疾病
肾上腺部分切除术
后腹腔镜
超声刀
手术方法
Adrenal disease Partial adrenalectomy Retroperitoneoscopy Laparosonic coagulating shears
