后腹腔镜肾上腺切除术36例报告  

Retroperitoneal laparoscopic adrenalectomy in the treatment of adrenal diseases

作　　者：王卫峰[1] 米其武[1] 张志刚[1] 张增强[1] 刘绍虔[1] 罗杰鑫[1] 

机构地区：[1]东莞市人民医院泌尿外科,东莞523000

出　　处：《中华腔镜泌尿外科杂志（电子版）》2008年第3期18-20,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨后腹腔镜肾上腺切除术的临床应用价值。方法经后腹腔行腹腔镜肾上腺切除术36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6例,原发性醛固酮增多症6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。对其临床资料进行分析总结。结果30例获成功,6例术中转开放性手术。后腹腔镜肾上腺切除手术时间为35～200min,平均120min。术中出血量为10～500ml,平均85ml。术后平均住院天数10天。29例获得3～9个月随访,无严重并发症和肿瘤复发。结论后腹腔镜肾上腺手术具有创伤小、疗效确切、并发症少和病人恢复快等优点,是治疗肾上腺占位性疾病的首选方法,但存在学习曲线。Objective To evaluate the clinical efficacy of retroperitoneal laparoscopic adrenalectomy for andrenal diseases. Methods Retroperitoneal laparoscopic adrenalectomy was performed in 36 cases, including 15 cases of adrenocortical adenoma, 3 cases of adrenocortical macromoduiar hyperplasia, 6 casese of pheochromocytoma, 6 cases of hyperaldosteronism, 3 cases of adrenal cystic, 2 cases of adrenal gangliocytomg, 1 case of adrenal myelohpomas. The clinic datum were analyzed retrospectively Results Retroperitoneal laparoscopy was successfully applied in 30 cases with an excellent therapeutic effect. Operative time ranged from 35-200 rain（mean 120 min）. Estimated intraoperative blood loss were 10-500 ml（mean 85 ml）. The average hospital stay was 10 days. Follow-up of 3 to 9 months duration for 29 cases showed good resuits. Conclusions Retroperitoneal laparoscopic adreralestomy has the advantages of minimal invasion, less blood loss, and fewer complications. The procedure should be the first choice of treatmeat for adrenal occupying space lesion when the surgeon can manage it.

关 键 词：后腹腔镜 肾上腺切除术 临床应用 患者 

分 类 号：R699[医药卫生—泌尿科学]