单孔后腹腔镜解剖性切除治疗肾上腺囊肿  

Single-port anatomical retroperitoneal laparoscopic adrenalectomy for the trentment of adrenal cysts

作　　者：钟凯华[1] 刘思平[1] 姚史武[1] 林毅锋[1] 江惠明 林立国[1] 钟伟枫[2] Zhong Kaihua;Liu Siping;Yao Shiwu;Lin Yifeng;Jiang Huiming;Lin Liguo;Zhong Weifeng(Department of Urology,Meizhou People＇s Hospital,Meizhou 514000,China;Department of Urology,Sun Yat-sen Cancer Center,Sun Yat-sen University,Guangzhou 510060,China)

机构地区：[1]梅州市人民医院泌尿外一科 [2]中山大学肿瘤防治中心泌尿外科

出　　处：《中华腔镜泌尿外科杂志（电子版）》2018年第6期415-417,共3页Chinese Journal of Endourology(Electronic Edition)

基　　金：广东省梅州市科技计划项目(2013B07);广东省梅州市科技计划项目(2013B132)

摘　　要：目的探讨单孔后腹腔镜解剖性切除治疗肾上腺囊肿的临床应用与疗效。方法2010年7月至2015年5月梅州市人民医院共收治肾上腺囊肿患者12例,采用自制单孔多通道套管后腹腔镜下三个层面解剖性切除肾上腺囊肿。年龄36～67岁,平均(47±8),平均体质量指数(25.0±3.2)kg/m2。右侧5例,左侧7例。囊肿直径平均为(5.0±0.7)cm。结果手术均顺利完成,4例行肾上腺囊肿切除,8例行肾上腺部分切除术,手术时间(64±14) min,失血量(30±8) ml,术后肠道功能恢复时间8～12 h,术后第1天疼痛评分(1.6±0.8),术后住院天数2～5 d,术后无肠麻痹、感染、继发出血等并发症,无输血。术后病理诊断为肾上腺囊肿。随访7～15个月,无囊肿复发。结论单孔后腹腔镜解剖性切除肾上腺囊肿是安全、有效的,具有创伤小,恢复快等优点。Objective To evaluate the clinical efficacy of single-port anatomical retroperitoneal laparoscopic adrenalectomy for the trentment of adrenal cysts. Methods From July 2010 to May 2015, retroperitoneal adrenalectomies had been completed successfully in 12 patients with a homemade single port. The mean age was （47±8） years. Five cases on right side, and 7 cases on left side. The average diameter of cyst was （5.0±0.7） cm. Results Operations were performed using conventional laparoscopic equipment with a homemade single port. Laparoscopic excision of cysts was performed in 4 cases and laparoscopic adrenalectomy in the remaining 8 cases. There were no perioperative or postoperative complications. The operative time ranged from 46 to 90 min, average time was （64±14） min. The mean blood loss was （30±8） ml. The mean visual analogue scale （VAS） was （1.6±0.8） in the first post-operative day. Duration of hospitalization ranged from 2 to 5 days. No surgical complications occurred. The duration of follow-up ranged from 7 to 15 months without recurrence. Conclusions Single-port anatomical retroperitoneal laparoscopic adrenalectomy for adrenal cyst is safe and effective, with less trauma and shorter duration of hospitalization.

关 键 词：单孔 腹腔镜 肾上腺切除术 肾上腺囊肿 

分 类 号：R699.3[医药卫生—泌尿科学]