后腹腔镜手术治疗肾上腺良性疾病(附39例报告)  

Retroperitoneal laparoscopic adrenalectomy(report of 39 cases)

作　　者：徐友明[1] 余建华[1] 王书龙[1] 李方[1] 陈久顺[1] 刘进[1] 谢军[1] 

机构地区：[1]武警湖北总队医院泌尿外科,武汉430061

出　　处：《临床外科杂志》2008年第2期126-127,共2页Journal of Clinical Surgery

摘　　要：目的探讨后腹腔镜手术治疗肾上腺良性疾病的手术方法和临床价值。方法采用后腹腔镜手术治疗肾上腺良性疾病39例,其中原发性醛固酮增多症7例,皮质醇增多症16例,无功能腺瘤5例,肾上腺囊肿6例,髓性脂肪瘤3例,嗜铬细胞瘤2例。结果除1例改开放手术外,其余手术均获成功,手术时间40～150min,平均75min,术中出血20～150ml,平均50ml。均无输血,无严重手术并发症。术后1～2d恢复进食,并可坐起或下床活动。术后住院时间6～10d,平均8d。结论与开放手术相比,后腹腔镜肾上腺切除术具有创伤小、痛苦小、住院时间短、康复快等优点,可作为肾上腺良性疾病的首选手术方法。Objective To evaluate the technique and clinical efficiency of retroperitoneal laparoscopic surgery for benign adrenal diseases. Methods From December of 2001 to July of 2007, retroperitoneal laparoscoplc adrenalectomy was performed on 39 patients with adrenal disorders, including 7 cases of primary aldosteronism, 16 cases of Cushing＇s syndrome ,5 cases of nonfunctional adrenal adenoma, 6 cases of adrenal cyst,3 cases of myelolopamas, 2 cases of pbeochromocytoma. Results Thirty - eight cases were subjected to retroperitoneal laparoscopic surgery and 1 converted to open surgery because of bleeding. The mean operative time was 75 （40 - 150） min and the average blood loss was 50 （20 - 150） ml with no transfusion, without serious complications in all patients. The average postoperative hospital stay was 8 （6 - 10 ） days. Conclusion Compared with open adrenalectomy, retroperitoneal laparoscopic adrenalectomy was less traumatic, with less postoperative discomfort and quicker recovery. The procedure should be considered as the first therapeutic choice for benign adrenal diseases.

关 键 词：腹腔镜 后腹腔 肾上腺疾病 肾上腺切除术 

分 类 号：R699.3[医药卫生—泌尿科学]