2023年5月第30卷第5期后腹腔镜单解剖层面肾上腺肿瘤切除术治疗直径＞6cm巨大肾上腺肿瘤的临床效果凌强1，邬韬1*，杨海2（1川北医学院附属医院泌尿外科，四川南充637000；2广安市人民医院泌尿外科，四川广安638000）【摘要】目的探讨后腹腔镜单解剖层面肾上腺肿瘤切除术治疗直径＞6cm巨大肾上腺肿瘤的临床效果。方法回顾性分析87例巨大肾上腺肿瘤（直径＞6cm）患者的临床资料，将采用后腹腔镜单解剖层面肾上腺肿瘤切除术治疗的47例患者纳入A组，将采用后腹腔镜三解剖层面肾上腺肿瘤切除术治疗的40例患者纳入B组。比较两组患者的围术期指标、围术期并发症发生率及术后转ICU率。结果两组的住院时间、肿瘤完整切除率、术后转ICU率比较差异无统计学意义（P＞0．05）。A组手术时间短于对照组，术中出血量、术后引流量、围术期并发症发生率低于B组（P＜0．05）。结论后腹腔镜单解剖层面肾上腺肿瘤切除术治疗直径＞6cm巨大肾上腺肿瘤效果显著，可明显减轻患者术中创伤，降低围术期并发症发生率。【关键词】后腹腔镜单解剖层面肾上腺肿瘤切除术；巨大肾上腺肿瘤；临床效果中图分类号：R736.6文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0605ClinicalEffectofRetroperitonealLaparoscopicSingle-Anatomical-LayerAdrenalectomyintheTreatmentofDiameter>6cmGiantAdrenalTumors//LINGQiang1,WUTao1*,YANGHai2(1DepartmentofUrology,theAffiliatedHospitalofNorthSichuanMedicalCollege,Nanchong637000,China;2DepartmentofUrology,Guang'anPeople'sHospital,Guang'an638000,China;*Correspondingauthor:WUTao,E-mail:alhawking@163.com)[Abstract]ObjectiveToexploretheclinicaleffectofretroperitoneallaparoscopicsingle-anatomical-layeradrenalectomyinthetreatmentofdiameter>6cmgiantadrenaltumors.MethodsTheclinicaldataof87patientswithgiantadrenaltumors(diameter>6cm)wereretrospectivelyanalyzed.47patientswithretroperitoneallaparoscopicsingle-anatomical-layeradrenalectomywereselectedasgroupA,and40patientswithretroperitoneallaparoscopicthree-anatomical-layeradrenalectomywereselectedasgroupB.Theperioperativeindicators,incidenceofperioperativecomplicationsandpostoperativeICUtransferratewerecomparedbetweenthetwogroups.ResultsNostatisticaldifferencewasfoundinthehospitalizationtime,completetumorresection...
