CAJ | 학술논문

目的：探讨既往腹腔手术史患者行经腹腔入路腹腔镜肾上腺切除的安全性及可行性。方法选取本院2010年1月至2014年12月行经腹腔入路腹腔镜肾上腺切除患者61例为研究对象，将其分为A组（既往有腹腔手术史，26例）与B组（无腹腔手术史，35例）。分析两组患者住院时间、手术时间、术中出血量、术中及术后并发症发生率。结果两组患者术中平均出血量及住院时间比较差异均无显著性（P＞0.05）。A组患者平均手术时间长于B组（P＜0.05）。两组患者术中及术后并发症发生率比较差异均无显著性（P＞0.05），且均无明显远期并发症。结论腹腔手术史并不是腹腔镜肾上腺手术的禁忌证，在选择合适的病例、熟练掌握经腹腔入路解剖及腹腔镜技术的情况下，行经腹腔入路腹腔镜肾上腺切除术是可行且安全的。
목적：탐토기왕복강수술사환자행경복강입로복강경신상선절제적안전성급가행성。방법선취본원2010년1월지2014년12월행경복강입로복강경신상선절제환자61례위연구대상，장기분위A조（기왕유복강수술사，26례）여B조（무복강수술사，35례）。분석량조환자주원시간、수술시간、술중출혈량、술중급술후병발증발생솔。결과량조환자술중평균출혈량급주원시간비교차이균무현저성（P＞0.05）。A조환자평균수술시간장우B조（P＜0.05）。량조환자술중급술후병발증발생솔비교차이균무현저성（P＞0.05），차균무명현원기병발증。결론복강수술사병불시복강경신상선수술적금기증，재선택합괄적병례、숙련장악경복강입로해부급복강경기술적정황하，행경복강입로복강경신상선절제술시가행차안전적。
ObjectiveTo analyze the effects of previous abdominal surgery on surgical outcomes in adrenal tumor patients subjected to laparoscopic adrenalectomy.MethodThe data included 61 patients operated by means of laparoscopic transperitoneal adrenalectomy from January 2010 to December 2014 were analyzed: previously subjected to at least one abdominal surgery (group A,n=26), with no history of previous abdominal operations (group B,n=35). Analyzed of the two groups of patients hospital stay, operative time, blood loss, intraoperative and postoperative complication rate.ResultThere was no signiifcant difference in the average blood loss and hospitalization time between the two groups (P>0.05). The mean operation time was longer in group A than group B (P<0.05). There was no signiifcant difference in the incidence of postoperative complications between the two groups (P>0.05), and no signiifcant long-term complications were found.ConclusionThe previous abdominal surgery does not constitute a contraindication to laparoscopic transperitoneal adrenalectomy. It is feasible and safety under the appropriate patients selected and surgeon with experienced skill.