laparoscopic adrenalectomy for pheochromocytoma中手术内血动力学不稳定的侧面特定因素:一项比较研究
Tamer A A M Habeeb1, Marta Araujo-Castro2,3, Massimo Chiaretti4
1Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt. tameralnaimy@hotmail.com.
Surgical endoscopy
|July 1, 2024
概括
腹腔镜右上腺切除术 (LRA) 与腹腔镜左上腺切除术 (LLA) 相比,具有更高的手术内血动力学不稳定性 (HDI) 风险. 右侧叶染色细胞瘤 (PHEO),较大的瘤大小,并发症和高血压会增加HDI的风险.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 叶红细胞瘤 (PHEO) 手术,特别是上腺切除手术,由于手术内血动力学不稳定性 (HDI) 的风险,存在重大挑战.
- 腹腔镜左上腺切除术 (LLA) 和腹腔镜右上腺切除术 (LRA) 之间的结果比较对于患者的安全至关重要.
研究的目的:
- 为了比较LLA和LRA之间的手术内血动力学不稳定 (HDI) 的发生率.
- 为了确定与HDI相关的风险因素,在腹腔镜上腺切除过程中,为feochromocytoma.
主要方法:
- 对271名单边良性PHEO患者进行了透腹腔镜上腺切除术的回顾性分析.
- 患者被分为LRA (n=122) 和LLA (n=149) 组.
- 使用单变量和多变量逻辑回归分析来确定手术内HDI的预测因素.
主要成果:
- 在LRA组 (27%) 中,手术期间的HDI显著高于LLA组 (9.4%) (p < 0.001).
- 右侧PHEO (OR 5.625),较大的瘤大小 (OR 11.019),手术前并发症 (OR 7.918) 和手术前静脉血压升高 (OR 1.265) 是严重高血压的重要危险因素.
结论:
- 腹腔镜右侧上腺切除术与腹腔镜左侧上腺切除术相比,与手术内血动力学不稳定的发生率相对较高.
- 染细胞瘤的位置 (右侧),瘤大小,患者的并发症和手术前的缩血压是手术内高血压的关键风险因素.
关键词:
上腺切除术是什么血液动力学不稳定性腹腔镜上腺切除术 (Laparoscopic adrenalectomy) 是一种通过眼镜进行的切除术.染细胞瘤 (Pheochromocytoma) 是一种细胞瘤.穿越皮质体的更多相关视频
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