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目的:观察比较自制单孔后腹腔镜与传统后腹腔镜切除肾上腺肿瘤的疗效。方法:选择肾上腺肿瘤48例,分为接受单孔后腹腔镜肾上腺肿瘤切除术16例(观察组)和接受传统后腹腔镜肾上腺肿瘤切除术32例(对照组)。比较两组手术时间、术中出血量、围术期并发症、术后疼痛程度、术后肛门排气时间、术后住院时间、切口总长度等指标的变化。结果:所有患者均手术成功,成功率100%。观察组切口总长度非常显著短于对照组(P<0.01),手术时间非常显著长于对照组(P<0.01);两组术中出血量、术后疼痛评分、术后肛门排气时间和术后住院时间比较,差异不显著(P>0.05)。结论:自制套管单孔腹腔镜肾上腺肿瘤切除术安全、可行,切口总长度较传统后腹腔镜肾上腺肿瘤切除术显著缩短。
OBJECTIVE: To observe the curative effect of self-laparoscopic laparoscopy and traditional retroperitoneal laparoscopic resection of adrenal tumors. Methods: Forty-eight cases of adrenal tumors were selected and divided into 16 cases (observation group) undergoing single-hole laparoscopic adrenalectomy and 32 cases undergoing traditional laparoscopic adrenalectomy (control group). The operation time, intraoperative blood loss, perioperative complications, postoperative pain, postoperative anal exhaust time, postoperative hospital stay, incision length and other indicators were compared. Results: All the patients were operated successfully, the success rate was 100%. The total incision length in the observation group was significantly shorter than that in the control group (P <0.01), and the operation time was significantly longer than that in the control group (P <0.01). The intraoperative blood loss, postoperative pain score, postoperative anal exhaust time and operation After hospital stay, the difference was not significant (P> 0.05). CONCLUSION: Self-made single-hole laparoscopic adrenalectomy is safe and feasible. The total incision length is significantly shorter than that of conventional retroperitoneal laparoscopic adrenalectomy.