后腹腔镜手术治疗肾上腺疾病15例体会  

After laparoscopic surgery for adrenal disease, 15 cases of Experience

作　　者：陈志健[1] 黄恒海[1] 李仙[1] 甘宏斌[1] 黄俊祥[1] 

机构地区：[1]广西医科大学第七附属医院,梧州543000

出　　处：《国际医药卫生导报》2010年第3期294-296,共3页International Medicine and Health Guidance News

摘　　要：目的探讨后腹腔镜在治疗肾上腺疾病中的应用。方法对2004年4月-2009年6月开展的15例后腹腔镜肾上腺手术进行回顾分析。15例中5例为皮质醇腺瘤，9例为醛固酮腺瘤，1例为嗜铬细胞瘤。结果15例手术均获成功。手术时间60～190min，平均120min；失血量30～200ml，平均75ml，术中及术后均未输血。术后住院时间6～9天，平均7天，术中出现腹膜破裂2例，术后出现皮下气肿2例。结论后腹腔镜手术治疗肾上腺疾病具有对组织损伤小、出血少、术后恢复快、并发症少等优点，已成为治疗肾上腺疾病的首选治疗方法。Objective To investigate the post-laparoscopy in the treatment of adrenal disease applications. Methods Section in April 2004 - June 2009 carried out in 15 cases oflaparoscopic adrenal surgery were analyzed retrospectively. 16 cases, 5 cases were cortisol adenoma, 9 cases of aldosterone adenoma, 1 case of pheochromocytoma. Results 15 cases of operation were successful. Operative time was 60 - 190min, an average of 120min; blood loss was 30 - 200 ml, an average of 75 ml, intraoperative and postoperative blood transfusion were not. Postoperative hospital stay was 6 - 9 days, an average of 7 days, intraoperative peritoneal rupture occurred in 2 cases, postoperative subcutaneous emphysema occurred in 2 cases. Conolusion Retroperitoneal laparoscopic surgery for adrenal disease, with the right tissue damage is small, less bleeding, rapid postoperative recovery and fewer complications, etc., have become the treatment of choice for treatment of adrenal disease.

关 键 词：腹腔镜术 肾上腺疾病 

分 类 号：R699.3[医药卫生—泌尿科学]