Laparoscopic and retroperitoneal laparoscopic resection of adrenal tumors in patients with clinical efficacy, blood gas analysis and hemodynamic effects

Abstract

Objective \nTo investigate the clinical effect, blood gas analysis and hemodynamics of patients with adrenal tumors undergoing laparoscopic and retroperitoneal laparoscopic resections. \n \n \nMethods \nNinety patients with adrenal tumors were selected from May 2014 to August 2017 in our hospital and Zhejiang provincial people s hospital and divided into control group and observation group according to the different surgical methods, 43 cases in the control group and 47 cases in the observation group. The patients in the control group underwent laparoscopic surgery and the observation group underwent laparoscopic surgery. The clinical efficacy, blood gas analysis and hemodynamic indexes of the two groups before pneumoperitoneum (T1), 30 min after pneumoperitoneum (T2), 60 min after pneumoperitoneum (T3) and 30 min after pneumoperitoneum (T4) were respectively tested. \n \n \nResults \nThe postoperative drainage, postoperative, hospital stay and intestinal function recovery time in the observation group were significantly lower than those in the control group (P 0.05). At T1, there was no significant difference in MAP and HR between the two groups (P>0.05). At T2 and T3, both MAP and HR levels were significantly higher than those at TI (P 0.05). At T4, MAP and HR in both groups were lower than those at T2 and T3, and there was no significant difference between the two groups (P>0.05), No significant difference between groups (P>0.05); There were no significant differences in PaCO2, PaO2 and PH levels between the two groups at T1 (P>0.05). At T2 and T3, the levels of PaCO2 in both groups were significantly higher than those in T1, and the levels of PH were significantly lower than those in T1 (P 0.05). The PaCO2 level in the observation group were significantly higher than those in the control group (P 0.05), PaCO2 levels in patients were lower than those in T2 and T3, PH levels were higher than those in T2 and T3, and there was no significant difference compared with T1 (P>0.05). There was no significant difference in PaCO2 between T2 and T3 statistical significance (P>0.05), no significant difference between groups (P>0.05). At T2 and T3, the levels of Na+ and HCO3－ in both groups were significantly increased compared with those in T1 and K+ levels were significantly lower than those in T1 (P 0.05). The level of HCO3－ in the observation group was significantly higher than that in the control group (P 0.05). \n \n \nConclusions \nRetroperitoneal laparoscopic surgery can produce an effective therapeutic effect on patients with adrenalectomized resection, but it has a greater impact on the patient s blood gas index and should monitor the patient s respiratory and blood gas indexes during surgery. \n \n \nKey words: \nAdrenal Gland Neoplasms;\xa0Laparoscopy;\xa0Blood Gas Analysis;\xa0Hemodynamics