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肾上腺切除术

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Objective: To sum up the experiences of treatment for right adrenal gland injury on liver tumor resection.

摘要目的:总结肝脏肿瘤切除术中右侧肾上腺损伤处理的初步经验。

Objective To evaluate the efficacy and safety of retropertoneoscopic adrenalectomy for the treatment of pheochromocytoma.

目的 探讨后腹腔镜下肾上腺嗜铬细胞瘤切除术的安全性及治疗效果。

Objective To evaluate retroperitoneal laparoscopic adrenalectomy for benign adrenal tumors.

目的 评价经腹膜后腔行腹腔镜肾上腺肿瘤切除术的临床价值。

Results 3 cases, all examined and accurately diagnosed by operation, had adrenalectomy and cystectomy.

结果 3例病例均经手术探查确诊,行肾上腺及囊肿切除术。

Since Clayman successfully performed laparoscopic nephrectomy for an oncocytoma patient in June 1990, the laparoscopic technique in urology has been developed dramatically.

自从Clayman于1990年6月成功地为一位肾脏嗜酸细胞瘤患者施行腹腔镜肾切除术以来,腹腔镜技术在泌尿外科领域得到了较快的发展,尤其是随后5年,在肾、肾上腺、前列腺癌及输尿管结石的外科治疗方面,越来越多的泌尿外科医生开始采用这一技术,并且泌尿外科腹腔镜水平的高低成为衡量医院综合竞争力的重要标准之一。

Data and method 1.1 average data this group 16 patients, the male 6, female 10, age 32~62 year old, association of anaesthetic doctor of AS classification class of Ⅱ~Ⅲ, tumor is located in adrenal 15, hind peritoneal 1. There is clonic or durative blood pressure to lift before 14 art, 2 do not have afore-mentioned symptoms. The pathology after all case method is checked all diagnose is tumour of chromic cell of be addicted to.

手术和麻醉的风险较大,我院2000年~2007年对16例嗜铬细胞瘤患者实施肿瘤切除手术,现将麻醉处理报告如下。1资料和方法1.1一般资料本组16例患者,男性6例,女性10例,年龄32~62岁,AS分级Ⅱ~Ⅲ级,肿瘤位于肾上腺15例,后腹膜1例。14例术前有阵发性或持续性血压升高,2例无上述症状。

No pneumothorax or viscera injury was complicated.both the transperitoneal and retroperitoneal laparoscopic approaches are feasible and safe for pheochromocytoma with the advantages of minimal invasion.

两种不同的入路施行腹腔镜肾上腺嗜铬细胞瘤切除术都是安全可行,具有操作精细、创伤小、恢复快等优点。

Retrospective examination of 91 nephrectomies for renal cell carcinoma found 4 cases of adrenal metastases (4.4 per cnet).

我们回溯91例因肾细胞癌而切除肾脏的病人,发现有4例合并肾上腺转移(4.4%),在第一期病人中,41位接受根除性肾术,另10位则未切除肾上腺。

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