经腹腔腹腔镜肾上腺切除术血管控制降压入路与升压入路的比较。

IF 1.1 4区 医学 Q3 SURGERY
Emre Hepsen, Adem Sanci, Fatih Sandikci, Alper Gok, Ahmet Nihat Karakoyunlu
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引用次数: 0

摘要

目的:探讨腹腔镜肾上腺切除术下行入路和上行入路对手术效果的影响。方法:本回顾性研究包括2018年至2025年间因嗜铬细胞瘤以外的适应症接受经腹腔腹腔镜肾上腺切除术的患者。患者分为两组:下行入路患者(D组)和上行入路患者(A组)。收集术前、术中和术后数据,包括年龄、美国麻醉学会评分、肿瘤特征、手术时间、出血量、血压变化和住院时间。采用SPSS 25.0进行统计学分析,以P < 0.05为差异有统计学意义。结果:共分析63例患者(D组30例,A组33例)。D组平均手术时间明显缩短(92分钟vs 110分钟,P = 0.027)。D组失血量较低(80 vs 120 mL, P = 0.022),血红蛋白下降较小(1.2 vs 1.8 g/dL, P = 0.025)。术中血压波动、住院时间或主要并发症无显著差异。结论:下行入路在腹腔镜肾上腺切除术中具有缩短手术时间和减少出血量的优势。然而,这两种技术仍然是可行的选择,并发症发生率相当。需要进一步的研究在更大的队列中证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Descending and Ascending Approaches for Vascular Control in Transperitoneal Laparoscopic Adrenalectomy.

Aim: This study aims to evaluate the descending and ascending approaches in laparoscopic adrenalectomy, focusing on their impact on surgical outcomes. Methods: This retrospective study included patients who underwent transperitoneal laparoscopic adrenalectomy for indications other than pheochromocytoma between 2018 and 2025. Patients were divided into two groups: those who underwent the descending approach (Group D) and those who underwent the ascending approach (Group A). Preoperative, intraoperative, and postoperative data were collected, including age, the American Society of Anesthesiology scores, tumor characteristics, operative time, blood loss, blood pressure variations, and hospital stay duration. Statistical analyses were performed using SPSS 25.0, with P < .05 considered statistically significant. Results: A total of 63 patients were analyzed (Group D: 30, Group A: 33). The mean operative time was significantly shorter in Group D (92 versus 110 minutes, P = .027). Blood loss was lower in Group D (80 versus 120 mL, P = .022), with a smaller hemoglobin decrease (1.2 versus 1.8 g/dL, P = .025). There was no significant difference in intraoperative blood pressure fluctuations, hospital stay, or major complications. Conclusions: The descending approach may offer advantages in reducing operative time and blood loss in laparoscopic adrenalectomy. However, both techniques remain viable options with comparable complication rates. Further studies are needed to confirm these findings in larger cohorts.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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