后腹腔镜手术治疗巨大肾上腺囊肿(附9例报告)  

Retroperitoneoscopic surgery for the treatment of huge adrenal cysts:with a report of 9 cases

作　　者：高波[1] 袁荫田 王安[1] 王琦[1] 潘爱民[1] 高佃军[2] 

机构地区：[1]寿光市人民医院,山东寿光262700 [2]潍坊医学院附属医院

出　　处：《腹腔镜外科杂志》2012年第4期274-276,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨后腹腔镜手术治疗巨大肾上腺囊肿的优点及应用价值。方法:回顾分析2007年3月至2011年11月9例巨大肾上腺囊肿患者的临床资料,其中男3例,女6例,左侧5例,右侧4例,囊肿直径均≥6 cm。采用腹膜后途径,根据术中情况行腹腔镜肾上腺部分切除术、肾上腺全切除术(包括因囊肿过大、压迫难以鉴别肾上腺的患者)、单纯肾上腺囊肿去顶减压术。结果:9例手术均获成功,其中肾上腺部分切除术4例,肾上腺全切除术3例,单纯肾上腺囊肿去顶减压术2例。手术时间平均(73.36±20.88)min,术中出血量平均(76.6±34.7)ml,平均住院(5.6±1.8)d。病理诊断为肾上腺囊肿,其中内皮性囊肿5例,假性囊肿4例。围手术期无并发症发生。随访3～37个月,平均17个月,无一例复发。结论:后腹腔镜手术治疗巨大肾上腺囊肿疗效确切,患者创伤小、出血少、康复快、住院时间短,对于腹腔镜手术经验丰富的术者,可作为首选。Objective：To evaluate the advantages and application value of retroperitoneoscopic operation for huge adrenal cysts. Methods： The clinical data of nine patients including 3 males and 6 females with giant adrenal cyst who underwent retroperitoneoscopic operation from Mar. 2007 to Nov. ：2011 were retrospectively analyzed. There were 5 cases in the left side and 4 cases in the right side,the cyst diameters were more than 6 cm. Results：All the operations were performed successfully including 4 cases of partial adrenalectomy,3 cases of total adrenalectomy and 2 cases of retroperitoneal decortication. The operative time was （73.36±20.88） min, the blood loss was （76.6±34.7） ml and the hospital stay was （5.6±1.8） d. The pathological diagnosis was adrenal cyst including 5 cases of endothelial cyst and 4 cases of pseudocyst. There was no severe perioperative complications. No recurrence occurred in the follow- ing-up of 17 （3-37）months. Conclusions： Retroperitoneoseopic surgery for huge adrenal cyst has the advantages of minimal invasion, less blood loss, quicker recovery, and shorter hospital stay, therefore it is worthy of the first choice for patients with giant adrenal cyst by experienced laparoseopic surgeon.

关 键 词：肾上腺囊肿 腹腔镜检查 腹膜后途径 病例报告 

分 类 号：R699.3[医药卫生—泌尿科学]