摘要
目的:总结后腹腔镜手术治疗肾上腺肿瘤的临床应用价值及手术方法。方法:回顾分析2008年1月至2012年6月为62例肾上腺肿瘤患者行后腹腔镜手术的临床资料,其中皮质醇腺瘤29例,醛固酮腺瘤22例,嗜铬细胞瘤8例,髓样脂肪瘤3例。结果:62例均顺利完成后腹腔镜手术。手术时间平均(65±14.6)min,出血量平均(78±19.1)ml,术中、术后均未输血。术后平均住院(4.5±0.9)d,无明显并发症发生。术后平均随访(21±4.7)个月,未见复发。结论:后腹腔镜手术治疗肾上腺肿瘤具有患者创伤小、出血少、康复快、并发症少等优点,具有良好的临床应用价值。
Objective：To summarize the clinical significance and operative method of retroperitoneal laparoscopic adrenalecto- my for adrenal tumors. Methods：The clinical data of 62 patients who suffered from adrenal tumors and underwent retroperitoneal laparo- scopic adrenalectomy from Jan. 2008 to Jun. 2012 were retrospectively analyzed. There were 29 cases of cortisol adenoma,22 cases of al- dosterone-producing adenoma, 8 cases of adrenal pheochromocytoma and 3 cases of adrenal myelolipoma. Results：The procedure was successfully completed in all the 62 cases, the mean operation time was （65 _＋ 14.6） min;there was no need for blood transfusion with the mean blood loss of （78 ± 19.1） ml. The mean post-operative hospital stay was （4.5 ±0.9） d. No serious complications were ob- served. All patients were followed up for （21 ± 4.7 ） months, and no recurrence was found. Conclusions ： Retroperitoneal laparoscopic adrenalectomy has advantages of minimal invasion,little blood loss, quick postoperative recovery, and few complication. It has favorable clinical application value.
出处
《腹腔镜外科杂志》
2014年第2期93-95,共3页
Journal of Laparoscopic Surgery
关键词
肾上腺肿瘤
腹腔镜检查
腹膜后路径
Adrenal gland neoplasms
Laparoscopy
Retroperitoneal approach
