【摘要】 目的探讨后腹腔镜手术治疗巨大肾上腺囊肿的优点及体会。方法回顾分析2007年3月~2011年11月收治的9例巨大肾上腺囊肿临床资料,其中男3例,女6例,左侧5例,右侧4例,囊肿直径均≥6cm。手术采用腹腔镜腹膜后途径,根据术中情况行肾上腺部分切除术、肾上腺全切除术(包括因囊肿过大压迫致难以鉴别肾上腺者)、单纯肾上腺囊肿去顶减压术。结果本组9倒手术均获成功,其中肾上腺部分切除术4例,肾上腺全切除术3例,单纯肾上腺囊肿去顶减压术2例。手术时间(73.36±20.88)min,术中出血(76.6±34.7)ml,住院时间(5.6±1.8)d。病理诊断为肾上腺囊肿,其中内皮性囊肿5例,假性囊肿4例。围手术期未见并发症。术后2例腰腹部饱胀感症状消失,1例高血压恢复正常。平均随访17个月(3~37个月),无1例复发。结论腹膜后腹腔镜手术治疗巨大肾上腺囊肿疗效确切、损伤小、出血少、恢复快、住院时间短,在具有腔镜设备及腹腔镜操作技术的医院,可作为首选。更多还原

【Abstract】 Objective To evaluate the advantages and experience of retroperitoneoscopic operation for huge adrenal cysts.Methods Nine patients(3 males and 6 females,the left side in 5 cases,the right side in 4 cases,cyst diameter was more than 6cm) with huge adrenal cyst were treated by retroperitoneal laparoscopic operation in our hospital from Mar.2007 to Nov.2011,and their clinical data were collected and retrospectively analyzed.Results All the operations were successfully performed,4 cases were performed partial adrenalectomy,3cases total adrenalectomy and 2 cases retroperitoneal decortication.The mean operative time was(73.36 ±20.88) min.the mean blood loss was(76.6 ± 34.7) ml and the mean hospital stay was(5.6 ± 1.8) d.Pathological diagnosis was adrenal cyst,5 cases of endothelial cyst and4 cases of pseudocyst.No severe postoperative complication was found,and no recurrence was found in all the patients during the mean followup of 17(3 ~ 37) months.Conclusion Retroperitoneoscopic surgery for huge adrenal cyst has the advantages of minimal invasion,less blood loss,quicker recovery,and shorter hospital stay,therefore endoscopic and laparoscopic equipment in a hospital operating techniques can be used as first choice.更多还原