摘要
目的 探讨后腹腔镜手术治疗肾上腺疾病的适应证及手术方法。 方法 应用后腹腔镜手术治疗肾上腺疾病 4 5例 4 6侧 ,其中原发性醛固酮增多症 19例 ,皮质醇增多症 15例 16侧 (腺瘤 10侧 ,增生 6侧 ) ,无功能腺瘤 8例 ,肾上腺囊肿 3例。 结果 4 5例 4 6侧手术中 ,4 4例手术成功 ,1例因术中出血和粘连改开放手术。手术时间平均 10 5 (6 0～ 2 70 )min。术中出血平均 30 (10～ 10 0 )ml,均未输血。患者术后 1～ 2d恢复进食 ,并可下床活动。术后住院时间平均 6 .8(4～ 19)d。 结论 与开放手术相比 ,后腹腔镜手术具有创伤小 ,疼痛轻 ,康复快等优点 。
Objective To evaluate retroperitoneal laparoscopic adrenalectomy. Methods Retroperitoneal laparoscopic adrenalectomy was performed on 45 cases with adrenal diseases, including 19 cases of primary aldosteronism, 15 cases of Cushing's syndrome, 8 cases of nonfunctional adrenal adenoma, 3 cases of adrenal cyst. Results 44 times of retroperitoneal adrenalectomy were performed in 45 patients (1 on both sides) successfully. One was converted to open operation because of bleeding and adhesion. The mean operation time was 105(60～270)min and the mean blood loss was 30(10～100)ml with no transfusion .The postoperative stay was 6.8(4～19)d. Conclusions Retroperitoneal laparoscopic adrenalectomy was less traumatic, with less postoperative discomfort and quicker recovery. The procedure should be considered as the first therapeutic choice for benign adrenal diseases.
出处
《中国现代手术学杂志》
2003年第5期351-353,共3页
Chinese Journal of Modern Operative Surgery
