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目的通过比较,评价后腹腔镜与开放手术行肾上腺肿瘤切除术的临床价值。方法将46例后腹腔镜肾上腺肿瘤切除术患者与同期58例开放手术行肾上腺肿瘤切除术患者的临床效果进行比较。结果后腹腔镜手术组的术中出血量、术后止痛剂的用量、术后住院时间、术后恢复工作的时间均优于开放手术组,差异有统计学意义(P<0.01);两组在手术时间、手术费用上差异无统计学意义(P>0.05)。结论后腹腔镜肾上腺肿瘤切除术具有创伤小、术中出血少、术后恢复快等优点,已成为现代肾上腺肿瘤手术治疗的金标准。
Objective To evaluate the clinical value of retroperitoneoscopic laparoscopic and open surgery for adrenalectomy. Methods The clinical results of 46 cases of retroperitoneal laparoscopic adrenalectomy and 58 cases of adrenalectomy undergoing open surgery during the same period were compared. Results The amount of postoperative laparoscopic surgery group bleeding, amount of analgesics after surgery, postoperative hospital stay, postoperative recovery work time were better than the open surgery group, the difference was statistically significant (P <0.01); two groups At operation time, there was no significant difference in operation cost (P> 0.05). Conclusions Retroperitoneal laparoscopic adrenalectomy has the advantages of less trauma, less intraoperative bleeding and faster postoperative recovery. It has become the gold standard for surgical treatment of modern adrenal tumors.