后腹腔镜下肾上腺肿物切除术的临床价值  

Retroperitoneal laparoscopic adrenalectomy in the treatment of adrenal diseases

作　　者：李金庆[1] 马潞林[1] 

机构地区：[1]北京大学第三医院泌尿外科

出　　处：《临床泌尿外科杂志》2005年第12期721-722,共2页Journal of Clinical Urology

摘　　要：目的:评价后腹腔镜下肾上腺肿物切除术的临床应用价值。方法:经后腹腔镜行肾上腺肿物切除术33例,其中肾上腺皮质腺瘤15例,肾上腺皮质结节状增生3例,嗜铬细胞瘤3例,醛固酮增多症6例(腺瘤型5例,结节状增生型1例),肾上腺囊肿3例,肾上腺节细胞神经瘤2例,髓脂肪瘤1例。结果:32例获得成功,1例中转开放手术,无严重并发症,疗效满意。结论:后腹腔镜下肾上腺手术具有创伤小、出血少、并发症少等优点,实用性强,临床疗效可靠。Objective：To consider the clinical significance of retroperitoneal laparoscopic adrenalectomy for adrenal diseases. Methods：Retroperitoneal laparoscopic adrenalectomy was used in 33 cases, including 15 cases of adrenocortical adenoma, 3 cases of adrenocortical macronodular hyperplasia, 3 cases of pheochromocytoma, 6 cases of hyperaldosteronism（5 cases of aldosterone-producing adenoma , one case of adrenoeortical macronodular hyperplasia）, 3 cases of adrenal cystic, 2 cases of adrenal gangliocytoma, one ease of adrenal myelolipomas. Results： Retroperitoneal laparoscopy was successfully applied in 32 cases with an excellent therapeutic effect, whereas conversion to open adrena/ectomy was required in one case, no complications were observed. Conclusions：Retroperitoneal laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss , and fewer complications , being an effective and practical procedure.

关 键 词：腹腔镜术 肾上腺疾病 肾上腺切除术 

分 类 号：R572[医药卫生—消化系统] R699.3[医药卫生—内科学]