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目的:回顾分析腹腔入路腹腔镜肾上腺手术125例的经验,提高腹腔镜肾上腺手术的技术水平。方法:125例均行腹腔入路肾上腺手术。对手术方法,临床效果进行分析。结果:手术时间50~240min,平均80min,术中失血量20~1000ml,平均80ml。中转开放手术4例(3.2%),其余手术成功,膈肌损伤1例,无血管及胃肠道并发症。所有患者术后第1天下床活动,术后平均住院时间5天。结论:腹腔镜腹腔入路是肾上腺手术的一种理想方法。
OBJECTIVE: To retrospectively analyze the experience of 125 cases of laparoscopic adrenalectomy via peritoneal approach and to improve the technical level of laparoscopic adrenalectomy. Methods: All 125 patients underwent adrenal surgery by abdominal approach. Surgical methods, clinical effects were analyzed. Results: The operation time was 50 ~ 240min with an average of 80min. The intraoperative blood loss was 20 ~ 1000ml with an average of 80ml. 4 cases (3.2%) were transferred to open surgery, the rest were successful, 1 case was diaphragmatic injury without vascular and gastrointestinal complications. All patients get out of bed after the first day of activity, the average postoperative hospital stay of 5 days. Conclusions: Laparoscopic peritoneal approach is an ideal method for adrenal surgery.