后腹腔镜肾上腺切除术36例报告  

Retroperitoneal laparoscopic adrenalectomy: a report of 36 cases

作　　者：张克勤[1] 靳凤烁[1] 高琳[2] 

机构地区：[1]第三军医大学附属大坪医院野战外科研究所泌尿外科,重庆400042 [2]济南军区88医院泌尿外科,山东泰安271000

出　　处：《局解手术学杂志》2004年第2期85-86,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的　探讨后腹腔镜肾上腺切除术的适应证及手术方法。方法　应用后腹腔镜肾上腺切除术治疗肾上腺疾病 3 6例 3 7侧 ,其中原发性醛固酮增多症 12例 ,皮质醇增多症 11例 12侧 ,嗜铬细胞瘤 9例 ,无功能腺瘤 4例。结果　 3 6例手术均获得成功 ,手术时间平均 90 ( 70～ 2 10 )min。术中出血平均 40 ( 2 0～ 10 0 )ml ,均未输血。患者术后 1～ 2d恢复进食 ,并可下床活动。术后住院时间平均 6( 4～ 12 )d。结论　与开放手术相比 ,后腹腔镜手术具有创伤小 ,疼痛轻 ,康复快等优点 ,应成为肾上腺良性疾病的首选手术方法。Objective To investigate the indications and surgical methods of retroperitoneal laparoscopic adrenalectomy. Methods From July 2000 to December 2003, retroperitoneal laparoscopic adrenalectomy was performed in 36 cases of adrenal diseases, including 12 cases of primary aldosteronism, 11 cases of Cushing's syndrome, 9 cases of pheochromocytoma, and 4 cases of nonfunctional adrenal adenoma. Results Operative success was achieved in all the 36 cases. The average operating time, intraoperative blood loss, and hospital stay were 90 (70～210) min, 40 (20～100) ml, and 6 (4～12) d, respectively. Conclusion Retroperitoneal laparoscopic adrenalectomy is a minimally invasive method, resulting in less pain and quicker recovery, and should be the first option for the treatment of benign adrenal diseases.

关 键 词：后腹腔镜 肾上腺切除术 适应证 手术方法 肾上腺疾病 

分 类 号：R699.3[医药卫生—泌尿科学]