腹腔镜在肾上腺手术中的应用  

Application of Laparoscopy in Adrenal Surgery

作　　者：朱绍兴[1] 陈仕平[1] 李永生[1] 王彬[1] 李启镛[1] 江玮[1] 郑松[1] 许恩赐[1] 蔡伟忠[1] 

机构地区：[1]福建医科大学附属协和医院泌尿外科,福州350001

出　　处：《中国微创外科杂志》2007年第10期930-932,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜技术在肾上腺手术中的临床应用价值。方法2000年12月-2006年5月,对86例肾上腺占位性病变行腹腔镜肾上腺切除术,其中经腹腔途径1例,经腹膜后途径81例,经腹手助腹腔镜4例。结果86例手术全部成功,无中转开放手术,无严重并发症发生。手术时间50-175 min,平均72 min。术中出血量15-120 ml,平均54 ml。术后住院时间5-8 d,平均6.3 d。86例术后随访2-65个月,平均26.5月,影像学检查未见肿瘤复发或转移,功能性肿瘤病人的症状减轻或消失。结论腹腔镜肾上腺切除术创伤小,术中出血少,术后恢复快,是治疗大多数肾上腺占位性病变的首选术式。Objective To evaluate the clinical value of laparoscopy in adrenal surgery. Methods From December 2000 to May 2006, 86 cases of adrenal space-occupying lesion received laparoscopic adrenalectomy via transperitoneal（n = 1 ） , retroperitoneal （n = 81 ） and hand-assisted transperitoneal （n = 4） approach, respectively. Results All the operations were successful without conversion to open surgery and severe complications. The mean operative time was 72 rain（ range,50 - 175min）. The mean blood loss was 54 ml（range,15 -120 ml）. The postoperative hospital stay was 6.3 d（ range,5 -8 d）. Imaging examinations revealed no tumor recurrence and metastasis during the mean follow-up period of 26.5 months（ range,2 - 65 months） in 86 patients. The symptoms of patients with functional tumor was alleviated or disappeared. Conclusions Laparoscopic adrenalectomy has advantages of minimal invasion, less blood loss, and quicker recovery, and it should be the fist choice for most adrenal space-occupying lesions.

关 键 词：肾上腺肿瘤 腹腔镜 肾上腺切除术 

分 类 号：R699[医药卫生—泌尿科学]