摘要
目的 探讨后腹腔镜手术治疗肾上腺疾病的操作要点及临床价值。 方法 采用后腹腔镜手术治疗肾上腺疾病 2 8例 ,其中原发性醛固酮腺瘤 4例 ,皮质醇腺瘤 16例 ,髓样脂肪瘤 3例 ,Cushing综合征 2例 ,嗜铬细胞瘤 3例。 结果 手术均获成功 ,手术时间平均 10 0 (40～ 30 0 )min ,术中出血平均6 0 (10～ 35 0 )ml。术后 1～ 2d肠道功能恢复 ,恢复进食并可床上活动 ,1～ 4d可下床活动。术后住院时间平均 6 (3～ 10 )d。除 1例肾上腺中央静脉损伤外无明显并发症。 结论 与开放手术相比 ,后腹腔镜肾上腺切除术具有创伤小、安全、住院时间短、康复快等优点 。
Objective To evaluate the techniques and the clinical efficiency of retroperitoneal laparoscopic adrenalectomy. Methods From July 2001 to March 2003, retroperitoneal laparoscopic adrenalectomy was performed in 28 patients with adrenal disorders, including primary aldosteronism in 4 cases, non-functioning cortex adenoma in 16, myelolopamas in 3, Cushing's syndrome in 2, and pheochromocytoma1 in 3. Results All operations succeeded in the 28 cases. The average operating time was 100(40～300)min, and the average blood loss was 60(10～350) ml. The average hospital stay was 6(3～10) d. No severe complications occurred during surgery. Conclusions Retroperitoneal laparoscopic adrenalectomy is a minimally invasive, less painful, safe, effective therapy and 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354-355,共2页
Chinese Journal of Modern Operative Surgery
