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在一个大批量中心进行腹腔镜上腺切除术的20年经验

Frantisek Hruska¹, Vladimir Student, Zbynek Tudos²

¹Department of Urology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic.

Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia

|January 8, 2026

概括

腹腔镜上腺切除术是对上腺疾病的安全有效治疗方法,仍然是黄金标准. 这项对405名患者进行的20年研究证实了其低并发症率和在治疗各种上腺疾病方面取得的高成功率.

科学领域:

内分泌手术内分泌手术
最少侵入性的手术
外科手术的结果

背景情况:

由于先进的成像技术,上腺疾病的检测越来越多.
laparoscopic 上腺切除术已成为黄金标准的治疗方法.
与机器人辅助手术日益普及的情况进行比较.

研究的目的:

评估跨腹腹腔镜上腺切除术.
在20年期间 (2002-2021) 分析结果.
在大量患者队列中评估安全性和有效性.

主要方法:

对405名接受了腹腔镜上腺切除术的患者进行了回顾性分析.
纳入标准:有症状的瘤,囊,癌瘤,偶发性瘤.
收集的数据:人口统计,成像,手术细节,并发症,病理学.

主要成果:

52.1%的女性患者,平均年龄为55.6岁.
右侧的手术更频繁 (54.39%).
高成功率,只有2次转换为开放性手术,没有死亡率;92.6%有轻微的并发症 (Clavien-Dindo I级).

结论:

腹腔镜上腺切除术是一种安全的手术方法.
证实了腹腔镜上腺切除术作为上腺疾病管理的黄金标准.
低并发症率凸显了手术的有效性和安全性.

关键词:

上腺上腺上腺人口统计数据人口统计数据功能性上腺瘤.laparoscopic 腹腔镜上腺切除术腹腔镜上腺切除术瘤是一种瘤.

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