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目的:比较经腹和经腹膜后途径在肾上腺肿瘤切除术中的应用。方法:180例肾上腺肿瘤病例,其中127例行经腹膜后肾上腺肿瘤切除术,53例行经腹肾上腺肿瘤切除术。观察两组患者在手术时间、出血量、并发症、住院时间和中转开放手术率几方面的差异。结果:在两组患者当中,经腹组和经腹膜后组在手术时间、失血量存在统计学差异,在住院时间、中转手术和并发症上面无统计学差异。结论:尽管研究显示了经腹膜后肾上腺肿瘤治疗中的优势,但仍需要进一步扩大样本进行观察。
Objective: To compare the use of transabdominal and retroperitoneal approaches in the treatment of adrenal tumors. Methods: 180 cases of adrenal neoplasms were performed. Among them, 127 cases underwent retroperitoneal adrenal tumor resection and 53 cases underwent abdominal adrenal tumor resection. Observe the differences in operation time, blood loss, complications, length of stay, and open surgery rate between the two groups. Results: In the two groups of patients, there was a statistical difference in the time of operation and blood loss between the transabdominal group and the retroperitoneal group. There was no statistical difference in hospitalization time, transfer surgery, and complications. Conclusion: Although studies have shown advantages in the treatment of retroperitoneal adrenal tumors, there is still a need to further expand the sample for observation.