腹腔镜肾上腺切除术治疗大肿瘤的可行性和安全性

腹腔镜肾上腺切除术治疗大肿瘤的可行性和安全性
Feasibility and safety of laparoscopic adrenalectomy for large tumours

Abstract
OBJECTIVE:
To verify the feasibility and safety of laparoscopic adrenalectomy for large tumours, as since it was described, the laparoscopic approach for adrenalectomy has become the 'gold standard' for small tumours and for large and non-malignant adrenal tumours many studies have reported acceptable results.
摘要
目的：
验证和腹腔镜切除大肿瘤是安全可行的，因为它是描述，对肾上腺切除术腹腔镜手术已经成为“金标准”的小肿瘤和大和非恶性肾上腺肿瘤多有研究报道的结果是可以接受的。

PATIENTS AND METHODS:
This is a retrospective study from a general surgery department from January 2006 to December 2013 including 45 patients (56 laparoscopic adrenalectomies). We divided patients into two groups according to tumour size: <5 or &#10878;5 cm, we compared demographic data and peri- and postoperative outcomes.
患者和方法：
这是一个来自普外科的回顾性研究，从2006年1月2013年12月，包括45例（56腹腔镜肾上腺）。我们根据肿瘤大小将患者分成两组：<5或&#10878;5厘米，我们比较人口数据和围绝经期和术后结果。

RESULTS:
There was no statistical difference between the two groups for conversion rate (3.7% vs 11.7% P = 0.32), postoperative complications (14% vs 12%, P = 0.4), postoperative length of hospital stay (5 vs 6 days P = 0.43) or mortality (3.5% vs 0% P = 0.99). The only statistical difference was the operating time, at a mean (SD) 155 (60) vs 247 (71) min (P < 0.001).
结果:
有两组之间的转换率（0.4比11.7% P = 0.32），术后并发症（14%比12%，P = 3.7%），术后住院天数（5比6天P = 0.43）或死亡率（3.5%比0% P = 0.99）。唯一的统计差异是工作时间，在平均（标准差）155（60）和247（71）分钟（P＜0.001）。

CONCLUSION:
Laparoscopic adrenalectomy for large tumours needs more time but appears to be safe and feasible when performed by experienced surgeons.
结论：
腹腔镜肾上腺切除术治疗大肿瘤需要更多时间，但似乎是安全可行的，由经验丰富的外科医生。

KEYWORDS:
ASA, American Society of Anesthesiology; Adrenalectomy; HCC, hepatocellular carcinoma; LA, laparoscopic adrenalectomy; Laparoscopy; Large tumour
关键词:
ASA,美国麻醉学;肾上腺切除术,肝细胞癌,肝细胞癌;洛杉矶,腹腔镜肾上腺切除术;腹腔镜;大的肿瘤

原文：
Feasibility and safety of laparoscopic adrenalectomy for large tumours.pdf (423.04 KB, 下载次数: 0, 售价: 99 香叶)

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腹腔镜肾上腺切除术治疗大肿瘤的可行性和安全性