临床肿瘤学杂志
臨床腫瘤學雜誌
림상종류학잡지
CHINESE CLINICAL ONCOLOGY
2014年
6期
547-549
,共3页
傅点%王玲%徐锋%位志峰%徐晓峰%张征宇%葛京平%程文
傅點%王玲%徐鋒%位誌峰%徐曉峰%張徵宇%葛京平%程文
부점%왕령%서봉%위지봉%서효봉%장정우%갈경평%정문
后腹腔镜%巨大肾上腺肿瘤%肾上腺中央静脉
後腹腔鏡%巨大腎上腺腫瘤%腎上腺中央靜脈
후복강경%거대신상선종류%신상선중앙정맥
Retroperitoneal laparoscopic%Huge adrenal tumors%Adrenal central vein
目的:总结后腹腔镜下切除巨大肾上腺肿瘤(≥6cm)的临床经验。方法自2007年6月至2013年3月对32例巨大肾上腺肿瘤(直径≥6cm)的患者行后腹腔镜下切除术,回顾性分析其临床资料。结果患者均顺利完成手术。平均手术时间80min(45~110min),术中出血量平均80ml(30~180ml)。术后随访时间3~50个月,平均19?5个月,仅1例患者复发转移。结论后腹腔镜下切除巨大肾上腺肿瘤安全可行,肿瘤大小不是腹腔镜下切除巨大肾上腺肿瘤的决定因素。优先阻断肾上腺中央静脉可以有效地减少出血和功能性肿瘤术中突发症状。
目的:總結後腹腔鏡下切除巨大腎上腺腫瘤(≥6cm)的臨床經驗。方法自2007年6月至2013年3月對32例巨大腎上腺腫瘤(直徑≥6cm)的患者行後腹腔鏡下切除術,迴顧性分析其臨床資料。結果患者均順利完成手術。平均手術時間80min(45~110min),術中齣血量平均80ml(30~180ml)。術後隨訪時間3~50箇月,平均19?5箇月,僅1例患者複髮轉移。結論後腹腔鏡下切除巨大腎上腺腫瘤安全可行,腫瘤大小不是腹腔鏡下切除巨大腎上腺腫瘤的決定因素。優先阻斷腎上腺中央靜脈可以有效地減少齣血和功能性腫瘤術中突髮癥狀。
목적:총결후복강경하절제거대신상선종류(≥6cm)적림상경험。방법자2007년6월지2013년3월대32례거대신상선종류(직경≥6cm)적환자행후복강경하절제술,회고성분석기림상자료。결과환자균순리완성수술。평균수술시간80min(45~110min),술중출혈량평균80ml(30~180ml)。술후수방시간3~50개월,평균19?5개월,부1례환자복발전이。결론후복강경하절제거대신상선종류안전가행,종류대소불시복강경하절제거대신상선종류적결정인소。우선조단신상선중앙정맥가이유효지감소출혈화공능성종류술중돌발증상。
Objective To describe and summarize the clinical experience with retroperitoneal laparoscopic adrenalectomy to huge adrenal tumors. Methods The clinical data of 32 cases with adrenal tumors≥6cm in size who had a retroperitoneal laparoscopic adrenalectomy between Jun. 2007 and Mar. 2013 were reviewed retrospectively. Results All the operation were successful. The average operation time was 80min( 45 to 110min) , the average intraoperative blood loss was 80ml( 30 to 180ml) . The follow up for all cases ranged from 3 to 50 months(average 19?5 months), 1 patient died of recurrence. Conclusion Retroperitoneal laparoscopic adrenalectomy for huge adrenal tumor is technically feasible and safe. Tumor size was not the determinants of laparoscopic resection of adrenal tumor. Priority blocking adrenal central vein could effectively reduce intraoperative bleeding volume and sudden functional tumor symptoms.