摘要
目的探讨后腹腔镜治疗肾上腺肿瘤的疗效、安全性。方法应用腹腔镜经腹膜后途径行肾上腺肿瘤摘除术24例。结果24例全部成功。手术时间1.0～3.5 h,平均1.7 h。所有患者术中、术后均未输血,无严重并发症。术后恢复顺利,术后住院3～8 d,平均4.5 d。术后病理诊断:肾上腺无功能腺瘤10例,原发性醛固酮症腺瘤6例,肾上腺囊肿4例,嗜铬细胞瘤2例,皮质醇腺瘤2例。结论后腹腔镜治疗肾上腺肿瘤,具有微创、安全有效、术后恢复快、住院时间短等优势,应成为治疗肾上腺肿瘤的首选方法。
Objective To investigate the safety and efficacy of retroperitoneal laparoscopy for adrenal tumor and report the experience with this procedure for adrenal surgery. Methods From June 2003 to March 2007, we performed 24 laparoscopic tumorectomy via the retroperitoneal approach. Results All procedures were successful. The average operative time was 1.7 hours（ranging from 1 to 3.5 hours）. All patients had no need of transfusion and no complication. All patients recovered. The average hospital stay was 4.5 days（ranging from 3 to 8 days）. Pathologic diagnosis ：10 cases of nonfunctional adenoma,6 cases of primary aldosteronism,4 cases of adrenal cyst, 2 cases of pheochromocytoma,2 cases of Cushing＇s adenoma. Conclusions Retroperitoneal laparoscopic surgery for adrenal occupying lesion had such advantages as minimal invasive, safe and effective, early recovery and shorter stay in hospital. It should be the flint choice of treatment for adrenal occupying lesion.
出处
《中国基层医药》
CAS
2007年第11期1803-1804,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肾上腺肿瘤
腹腔镜检查
腹膜后间隙
Adrenal gland neoplasms
Laparoscopy
Rarroperironeal space
