摘要
目的：探讨经后腹腔镜手术治疗直径≥6．0cm的肾上腺肿瘤的安全性和效果。方法：对我院近5年收治经后腹腔镜手术治疗的直径≥6．0cm肾上腺肿瘤患者的临床资料进行回顾分析，27例患者年龄24～76岁，男性10例，女性17例，肿瘤直径6．0～8．5cm。病理结果为：髓质脂肪瘤9例，肾上腺皮质腺瘤7例，肾上腺嗜铬细胞瘤6例，节细胞神经瘤3例，肾上腺皮质腺癌1例，肾上腺转移瘤1例。结果：24例患者顺利切除肿瘤，另外3例患者术中转开放手术，平均手术时间（119．46±36．65）min，术中估计出血量（80．14±36．48）mL，术后进食时间（1．88±0．82）d，术后引流管留置时间（2．05±0．65）d，术后住院时间（6．21±1．84）d。结论：在技术熟练的前提下，直径≥6．0cm的肾上腺肿瘤经后腹腔镜手术治疗仍然安全、微创。
Objective：To evaluate the value of retroperitoneal laparoscopic adrenalectomy for tumors with diameter more than or equal to 6.0 cm. Methods： Medical charts of 27 retroperitoneal laparoscopic adrenalectomy patients with tumor diameter more than or equal to 6.0 cm in recent 5years were reviewed. The data are as follow., the mean age was （44.36±6.43） years,10 cases were male and 17 cases were female, the diameter of tumors were 6.0-8.5 crn. The pathologic diagnosis are as follow： 9 cases of myelolipoma, 7 cases of adrenal cortical adenoma, 6case of pheochromocytoma, 3 cases of ganglioneuroma, 1 cases of adrenal cortical adenocarcinoma, 1 case of metastatic carcinoma, Results：Twenty-four patients underwent retroperitoneal laparoscopic adrenalectomy smoothly except 3 case who were transferred to open operation. The mean operation time was （119.46±36.65） minutes, the mean blood loss during operation was （80.14±36.48） mL, the mean time for recovering to take food was （1.88±0.82） days, the mean drain- age time was （2.05±0.65） days and the hospital stay after operation was （6.21±1.84） days. Conclusion：The retro-peritoneal laparoscopic adrenalectomy is safe and micro-invasive to treat tumors with diameter more than or equal to 6. 0 cm for experienced surgeon.
出处
《华西医学》
CAS
2009年第4期973-975,共3页
West China Medical Journal
