A clinical comparative study of treatment effect of adrenal pheochromocytoma between laparoscopic and open surgery
10.3760/cma.j.issn.1673-4904.2013.26.007
- VernacularTitle:腹腔镜与开放手术治疗肾上腺嗜铬细胞瘤的临床对照研究
- Author:
Xishe LIU
- Publication Type:Journal Article
- Keywords:
Pheochromocytoma;
Adrenal glands;
Laparoscopes
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(26):18-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the treatment effect of adrenal pheochromocytoma between laparoscopic and open surgery.Methods Sixty cases diagnosed as adrenal pheochromocytoma undergoing surgery,were grouped by different surgical methods,32 cases with laparoscopic surgery as the laparoscopic group,28 cases with open surgery as the open group.Comparing two groups with the curative effect.Results Postoperative pathology confirmed the diagnosis with pheochromocytoma,5 cases with infringe upon the envelope,laparoscopic group had no transfer laparotomy.Intraoperative systolic breadth,operative time,intraoperative blood loss,intraoperative blood transfusion volume,length of incision,postoperative drainage time,postoperative drainage and postoperative hospitalization days in open group were (25.21 ± 9.42) mm Hg(1 mm Hg =0.133 kPa),(127.38 ± 16.40) min,(420.48 ± 185.62) ml,(238.20 ± 68.39) ml,(13.23 ± 1.14) cm、(7.26 ± 1.20) d,(326.50 ±96.48) ml,(9.31 ± 1.89) d,in laparoscopic group were (10.42 ± 8.89) mm Hg,(76.29 ±24.61) min,(120.54 ±104.28) ml,(86.49 ±36.53) ml,(8.44 ±1.03) cm,(5.47 ± 1.55) d,(180.32 ± 100.52) ml,(7.21 ± 1.30) d,differences between two groups were statistically significant (P ＜0.05).There was no significant difference in maximum tumor diameter,complication incidence,recurrence rate between open group and laparoscopic group (P ＞ 0.05).Conclusions Laparoscopic and open surgery treatment of adrenal pheochromocytoma curative effect is good,high security,laparoscopic surgery in patients with traumatic small relative to restore,no contraindications to laparoscopic treatment in patients with laparoscopic surgery treatment can be preferred.
