解剖性后腹腔镜肾上腺切除术的临床体会  

Clinical Experience of Anatomical Retroperitoneoscopic Adrenalectomy

作　　者：张先云[1] 马松[1] 姜福金[1] 王洪兵[1] 王苏贵[1] 李杰[2] 

机构地区：[1]江苏省淮安市第二人民医院泌尿外科,江苏淮安223002 [2]江苏省人民医院泌尿外科,江苏南京210029

出　　处：《医学临床研究》2015年第9期1713-1715,共3页Journal of Clinical Research

摘　　要：【目的】探讨解剖性后腹腔镜下肾上腺切除术临床应用价值。【方法]2012年3月至2014年3月两院共对162例肾上腺肿瘤及肾上腺皮质增生患者行解剖性后腹腔镜下肾上腺切除术，依术中情况选择行肾上腺全切或次全切术。【结果】162例手术均获成功，平均手术时间（48±22）min，平均出血量（42±15）mL。平均住院时间（6．5±0．8）d，随访6～18个月，无远期并发症，未见复发。【结论】解剖性后腹腔镜下肾上腺切除术解剖层次清晰，疗效确切，并发症少，是肾上腺肿瘤及肾上腺皮质增生安全有效的治疗方法。[Objective] To explore the operative technique, and evaluate the clinical application value of anatomical retroperitoneoscopic adrenalectomy. [Methods] The clinical data of 162 cases of adrenal gland neoplasms treated by anatomical retroperitoneoscopic adrenalectomy from March 2012 to March 2014 were retrospectively analyzed. Total or subtotal adrenalectomy was selected with regard to comprehensive consideration of the preoperative diagnosis and intraoperative actual condition. [Result] All the procedures were accomplished successfully.Mean operative time was （48±22） min, and mean blood loss was （42 ± 15） mL. Mean hospital stay was （6.5±0.8） d （from 5 to 11 days）. None recurred during the follow up from 6 to 18 months. [Conclusions] Anatomical retroperitoneoscopic adrenalectomy is a safe and effective technique for adrenal gland neoplasms, which has the advantages of clear anatomic structure, reliable curative effect, and less complication.

关 键 词：腹腔镜检查 肾上腺切除术/方法 腹腔/解剖学和组织学 

分 类 号：R699.3[医药卫生—泌尿科学]