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首页> 外文期刊>Nature clinical practice:Urology >Which patients are suitable candidates for laparoscopic adrenalectomy with needlescopic instruments?
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Which patients are suitable candidates for laparoscopic adrenalectomy with needlescopic instruments?

机译:哪些患者适合使用针刺器械进行腹腔镜肾上腺切除术?

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摘要

Laparoscopic adrenalectomy has become the standard surgical procedure for benign adrenal tumors. The benefits of this type of surgery are reduced blood loss and postoperative pain, improved cosmetic outcomes and a reduced hospital stay. All these features could potentially be improved further by use of needlescopic instruments, which have diameters < or =3 mm, in contrast to the 5-12 mm diameters of standard laparoscopic instruments. Liao and colleagues have presented comprehensive and objective results for laparoscopic adrenalectomy with needlescopic instruments (LANI) performed in 112 patients with presumptively benign adrenal tumors <5 cm in diameter. Their results provide evidence to support the use of LANI in this setting and show that the technique is feasible for surgeons who have extensive experience in performing laparoscopic surgery. Prospective comparisons of LANI with traditional laparoscopic adrenalectomy are awaited.
机译:腹腔镜肾上腺切除术已成为良性肾上腺肿瘤的标准手术方法。这类手术的好处是减少失血量和术后疼痛,改善美容效果并减少住院时间。与标准腹腔镜器械的直径为5-12 mm相比,使用直径小于或等于3 mm的针镜器械可以进一步改善所有这些特征。 Liao及其同事介绍了112例直径<5 cm的良性肾上腺良性肿瘤患者,采用针刺器械(LANI)进行腹腔镜肾上腺切除术的综合客观结果。他们的结果提供了支持在这种情况下使用LANI的证据,并表明该技术对在腹腔镜手术方面具有丰富经验的外科医生是可行的。尚待对LANI与传统腹腔镜肾上腺切除术进行前瞻性比较。

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