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目的:探讨微通道后腹腔镜技术治疗肾上腺肿瘤的临床价值以及注意事项。方法:回顾性分析2011年10月~2012年8月10例肾上腺肿瘤患者资料。所有患者均经CT或MRI影像学资料证实,并经内分泌科确诊及完善术前准备后行微通道后腹腔镜技术治疗。手术采用三通道操作,使用10mm、5mm以及3mm Trocar各1个。结果:10例患者采用3通道的微孔后腹腔镜技术完成,1例术中发现胸膜损伤,加用1个5mm Trocar后在腹腔镜下成功缝合修补胸膜。平均手术时间139(30~360)min,平均出血38.5ml。1例患者术后出现气胸,采用穿刺抽气后治愈。术后患者住院3~7d,平均4.2d。无其他术中以及术后并发症。结论:微通道后腹腔镜技术是治疗肾上腺肿瘤安全有效的方法。
Objective: To investigate the clinical value and precautions of microchannel retroperitoneoscopy in the treatment of adrenal tumors. Methods: The data of 10 patients with adrenal tumors from October 2011 to August 2012 were retrospectively analyzed. All patients were confirmed by CT or MRI imaging data, and confirmed by the Department of Endocrinology and improve the preoperative preparation of micro-channel laparoscopic treatment. Surgery using three-channel operation, the use of 10mm, 5mm and 3mm Trocar each one. Results: Ten patients were treated with 3-channel microporous retroperitoneal laparoscopy. One patient was found to have pleural injury during operation, and one 5mm Trocar was used to suture the pleura successfully after laparoscopy. The average operation time was 139 (30 ~ 360) min, the average bleeding 38.5ml. One patient had pneumothorax after surgery and was cured by punctured aspiration. Postoperative patients hospitalized 3 ~ 7d, an average of 4.2d. No other intraoperative and postoperative complications. Conclusion: Micro-channel laparoscopy is a safe and effective method for the treatment of adrenal tumors.