摘要
目的探讨腹膜后入路腹腔镜切除巨大肾上腺肿瘤的应用与体会。方法共7例患者,其中无功能腺瘤4例,髓性脂肪瘤2例,肾上腺增生伴腺瘤形成1例。瘤体最大直径为7～12 cm。使用IUPU法建立后腹腔操作空间,均经后位腹膜后入路切除。结果 7例手术均获成功,手术时间85～130 min,平均105 min;术中出血40～120 ml,平均70ml;术后住院时间6～11 d,平均8 d,术中术后未见明显并发症。结论在腹腔镜技术娴熟的情况下,后腹腔镜手术切除巨大肾上腺肿瘤是安全、有效、可行的;手术损伤小、疼痛轻、微创美观、胃肠道干扰小、腹腔并发症少,是微创技术治疗巨大肾上腺肿瘤的最优选择。
Objective To summarize the application and experience of the laparoscopic retroperitoneal adrenalectomy for the resection of giant adrenal tumor. Methods All 7 patients including 4 case of non-function tumor,2 malignant lympholna and 1 hyperplasia with adenoma were enrolled in this study. The largest dimension of tumor was from 7 to 12 cm. The laparoseopie retro- peritoneal adrenalectomy was established by the way of IUPU. Results All 7 cases succeeded. The mean operation time was 105 minutes （range 75 to 130 min）. The intraoperative bleeding mean volume was 70 ml （ range 40 to 120 ml）. The mean postoperative hospital stay was 8 d （ range 6 to 11 d）. All the patients recovered well after the operation and there was no complication was ob-served. Conclusion Based upon the experience and skills of the surgeons,it is a safe, feasible and effective treatment for giant adrenal tumor with laparoscopic retroperitoneal adrenaleetomy, which has the advantages of minimal invasion,less suffering, quic-ker recovery and fewer abdominal complications. Retroperitoneal laparoscopic surgery has become the optimal choice to giant adre-nal tumor.
出处
《中华全科医学》
2013年第2期211-212,共2页
Chinese Journal of General Practice
关键词
后腹腔镜
巨大肾上腺肿瘤
手术治疗
Laparoseopie retroperitoneal adrenalectomy
Giant adrenal tumor
Surgical treatment
