岭南现代临床外科2024，Vol.24Issue(5)：291-295,5.DOI:10.3969/j.issn.1009-976X.2024.05.004
腹腔镜无管化肾上腺切除术的临床应用
Clinical application of tubeless laparoscopic adrenalectomy
摘要
Abstract
Objective To explore the feasibility and safety of tubeless laparoscopic adrenalectomy.Methods A retrospective analysis was conducted on the clinical data of 102 patients who underwent laparoscopic adrenalectomy by the same surgical team at our hospital from June 2022 to July 2024.Among them,43 patients(tubeless group)did not have drainage tubes placed,and the urethral catheter was removed immediately or within 1 day after surgery.The remaining 59 patients(control group)underwent conventional drainage tube placement and urethral catheterization.The differences in surgical time,intraoperative bleeding,postoperative feeding time,postoperative hospital stay,postoperative pain visual analog score(VAS),and postoperative complications between the two groups were compared.Subgroup analysis was then performed based on surgical approach(transperitoneal vs.retroperitoneal)to compare perioperative clinical indicators.Results Both groups completed the surgery successfully without conver-sion to open surgery.The tubeless group had shorter postoperative hospital stays,lower VAS pain scores at 2 hours and 24 hours after surgery,compared to the control group(all P values less than 0.05).There were no significant differences in operative time,intraoperative bleeding,postoperative feeding time,and postoperative complications(fever,pulmonary infection,abdominal distension,and urinary reten-tion)between the two groups(all P values more than 0.05).Subgroup analysis based on surgical approach revealed that in the transperitoneal approach subgroup,the tubeless group showed significantly shorter operation times,lower VAS pain scores at 2 and 24 hours postoperatively,and shorter hospital stays compared to the control group(P＜0.05).In the retroperitoneal approach subgroup,the tubeless group also showed significantly lower VAS pain scores at 24 hours postoperatively and shorter hospital stays(P＜0.05).Conclusion Tubeless laparoscopic adrenalectomy can significantly accelerate postoperative recovery,improve patient comfort,and shorten hospital stays,making it a safe and feasible fast-track surgical approach.关键词
无管化/肾上腺肿瘤/腹腔镜/肾上腺切除术Key words
tubeless/adrenal tumor/laparoscopy/adrenalectomy分类
医药卫生引用本文复制引用
连文清,黄亚强,黄红星,钟睿,曹彬..腹腔镜无管化肾上腺切除术的临床应用[J].岭南现代临床外科,2024,24(5):291-295,5.基金项目
广东省中山市医学科研项目(20231A020007) （20231A020007）
