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对于原发性阿尔多斯特主义的门诊腹腔镜上腺切除术的可行性
Marie Milluy1, Clément Klein1, Grégoire Capon1
1Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
The French journal of urology
|September 28, 2024
概括
门诊腹腔镜上腺切除术 (LA) 治疗原发性阿尔多斯顿症 (PA) 是可行的和安全的. 这种方法提供了高的成功率,最小的疼痛和优秀的患者满意度,使其成为选定的患者的可行选择.
科学领域:
- 最少侵入性的手术
- 内分泌学 在内分泌学.
- 外科手术的结果
背景情况:
- 腹腔镜上腺切除术 (LA) 是对上腺疾病的标准.
- 尽管并发症率较低,但门诊LA的利用是有限的.
- 对于原发性阿尔多斯顿主义 (PA) 的门诊LA的可行性需要调查.
研究的目的:
- 评估门诊性腹腔镜上腺切除术 (LA) 对于原发性阿尔多斯特隆症 (PA) 的可行性和结果.
主要方法:
- 对于PA (2013-2021) 的76个LA程序的回顾性审查.
- 通过当天出院 (<12小时) 并没有在48小时内再入院的成功门诊LA.
- 通过D1护士呼叫评估术后疼痛和满意度;1,3和6个月的随访.
主要成果:
- 60/76 (78.9%) 的LA是作为门诊手术进行的.
- 门诊LA的成功率为95% (57/60),没有手术并发症.
- 平均D1疼痛为2.1/10,患者满意度为9.4/10;在6个月内,59.2%的PA治愈.
结论:
- 门诊PA的LA是可行的,证明了高的成功率.
- 该程序与最小的术后疼痛和高患者满意度有关.
- 没有再入院,支持门诊PALA的安全性.
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