后腹腔镜手术在单侧孤立肾上腺转移癌中的临床应用  

Clinical application of retroperitoneal laparoscopic surgery in unilateral solitary adrenal metastasis

作　　者：胡彬[1] 张溪[1] Hu Bin;Zhang Xi(Department of Urology, Beijing General Aerospace Hospital, Beijing 100076, China)

机构地区：[1]北京航天总医院泌尿外科,100076

出　　处：《国际外科学杂志》2019年第9期610-612,共3页International Journal of Surgery

摘　　要：目的总结后腹腔镜手术应用于单侧孤立肾上腺转移癌的可行性及手术效果。方法回顾性分析2008年1月—2015年9月北京航天总医院收治的18例单侧孤立肾上腺转移癌患者的临床资料,其中男性14例,女性4例;平均年龄58.6岁,年龄范围为45~75岁;患者均行后腹腔镜手术治疗。观察患者的术中、术后并发症和3年生存率。结果18例患者均顺利实施手术,其中1例因肿瘤大、术中粘连重、出血多而中转开放手术。所有患者均未出现术后并发症。术后随访患者17例,随访率为94.4%(17/18),3年生存率为70.6%(12/17)。结论后腹腔镜手术用于治疗单侧孤立肾上腺转移癌,是一种安全、有效的治疗方法。Objective To summarize the feasibility and effect of retroperitoneal laparoscopic surgery for unilateral solitary adrenal metastases. Methods The clinical data of 18 patients with unilateral solitary adrenal metastases admitted to Beijing General Aerospace Hospital from January 2008 to September 2015 were retrospectively analyzed, including 14 males and 4 females, with the average age of 58.6 years, ranged from 45 to 75 years. All patients underwent retroperitoneal laparoscopic surgery. The intraoperative and postoperative complications and 3-year survival rate were observed. Results All 18 patients underwent the operation successfully, one of them had open surgery due to large tumor, intraoperative adhesion, and hemorrhage. All patients had no postoperative complications. 17 patients were followed up after the operation, the follow-up rate was 94.4%(17/18), and the 3-year survival rate was 70.6%(12/17). Conclusion Retroperitoneal laparoscopic surgery is a safe and effective treatment for unilateral solitary adrenal metastases.

关 键 词：肾上腺 肿瘤转移 腹腔镜 治疗结果 

分 类 号：R736.6[医药卫生—肿瘤]