后腹腔镜肾上腺肿瘤切除术22例临床分析

【摘要】 目的评价经腹膜后腔镜肾上腺肿瘤切除术的临床价值。方法对本科2003年3月至2006年6月开展的22例后腹腔镜肾上腺肿瘤切除术进行分析。22例中11例为皮质醇腺瘤,10例为醛固酮腺瘤,1例嗜铬细胞瘤。结果22例手术均获成功。手术时间60～140min,平均100min;失血量30～100mL,平均55mL,术中及术后均未输血;1例术后发生后腹膜腔血肿。结论后腹腔镜肾上腺肿瘤切除术具有对组织损伤小、出血少、术后恢复快、并发症少等优点,为非嗜铬细胞瘤肾上腺良性疾病的首选方法。更多还原

【Abstract】 Objective To evaluate retroperitoneal laparoscopic adrenalectomy for benign adrenal tumors.Methods From March 2003 to June 2006,22 cases of benign adrenal tumors were treated with retroperitoneal laparoscopy in our hospital.There were 11 cases of Cushing’s syndrome,10 cases of aldosterone-producing adenoma and 1 case of adrenal pheochromacytoma.Results The procedure was successful in the 22 cases and the operation time was 60～140 minutes with a mean of 100 minutes;there was no need for blood transfusion with the blood loss ranging from 30 to 100 mL.No complications occurred during operation and only one had a retroperitoneal hematoma postoperatively.Conclusion Retroperitoneal laparoscopic adrenalectomy is a procedure with microinvasiveness,less bleeding,rapid postoperative recovery,and fewer complications.Laparoscopic adrenalectomy should be considered as the first choice in treating benign adrenal tumors.更多还原