改进入路的经腹腹腔镜肾上腺偶发瘤切除术  

The application of improved transperitoneal laparoscopic surgery in treating adrenal incidentalomas

作　　者：李明川[1] 李青[1] 罗勇[1] 王永兴[1] 赵佳晖[1] 姜永光[1] 魏德超 

机构地区：[1]首都医科大学附属北京安贞医院泌尿外科,北京100029

出　　处：《中华腔镜外科杂志（电子版）》2017年第6期366-369,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：北京市自然科学基金(7172068)

摘　　要：目的探讨改进入路的经腹腹腔镜治疗肾上腺偶发瘤的临床应用及疗效。方法回顾性分析2000年1月至2017年1月在首都医科大学附属北京安贞医院因健康体检或肾上腺以外疾病就诊而发现的65例肾上腺偶发瘤患者的资料。其中男28例、女37例,年龄24~71岁,平均55岁。肿瘤直径<4 cm者45例、4~6 cm者17例、>6 cm者3例。65例患者均行改进入路的经腹腹腔镜手术治疗。结果 65例患者诊断,其中肾上腺皮质腺瘤44例(其中无功能腺瘤32例、原发性醛固酮增多症8例、库欣综合征4例),肾上腺皮质结节状增生10例(其中原发性醛固酮增多症9例、双侧大结节性肾上腺增生1例),嗜铬细胞瘤5例,神经节瘤2例,髓样脂肪瘤3例,肾上腺皮质癌1例。结论改进入路的经腹腹腔镜肾上腺手术治疗肾上腺偶发瘤安全、有效。ObjectiveTo discuss the clinical application and therapeutic effect of Improved transperitoneal laparoscopic surgery in treating adrenal incidentalomas. Methods65 cases were diagnosed as adrenal incidentalomas due to health examination or treatment of other than adrenal disease, including 28 males and 37 females, whose ages were between 24 and 71 years, with mean age of 55 years. Tumor diameter：〈 4 cm 45 cases,4 6 cm 17 cases, 〉 6 cm 3 cases. Improved transperitoneal laparoscopic surgery were performed in all patients. ResultsPost operation were finally diagnosed adrenocortical adenoma in 44 cases （non functional adenoma 32 cases; primary aldosteronism 8 cases; Cushing syndrome 4 cases） 10 cases were adrenocortical nodular hyperplasia （primary aldosteronism 9 cases; bilateral nodular adrenal hyperplasia 1 case）, 5 cases were pheochromocytoma, 2 cases of ganglioneuroma, adrenal myelolipoma is 3 cases, and adrenal cortical carcinoma in 1 case. ConclusionsImproved transperitoneal laparoscopic surgery was a safe technology and its effect was reliable.

关 键 词：肾上腺肿瘤 偶发瘤 腹腔镜 

分 类 号：R736.6[医药卫生—肿瘤]