腹膜后腹腔镜在肾上腺手术中的应用(附12例报告)

Retroperitoneal Iaparoscopy for adrenal surgery (report of 12 cases)

目的 探讨腹膜后腹腔镜在肾上腺手术中的应用。方法 采用腹膜后腹腔镜技术完成12例肾上腺占位性病变切除手术。结果 12例全部成功。术后病理检查证实:原发性醛固酮增多症8例,皮质醇腺瘤2例,嗜铬细胞瘤2例。术中术后均未输血,无严重并发症。手术时间1.0-3.5h,平均1.8h,术后住院时间3-7d,平均5.2d。结论 腹膜后腹腔镜肾上腺占位性病变切除术,具有微创、安全有效、术后恢复快、住院时间短等优势,应成为治疗肾上腺占位性病变的首选方法。

Objective To investigate the application of retroperitoneal laparoscopy for adrenal surgery. Methods 12 cases of adrenal occupying lesion have been treated by retroperitoneal laparoscopic surgery. Results All 12 cases succeeded uneventfully. The pathologic study confirm that 8 cases were primary aldostero-nism,2 cases adrenocortical adenoma,2 cases pheochromocytoma. All patients had no need of trasfusion and no complication. The operation time was 1. 0-3. 5h with a mean of 1. 8h. The postoperative hospital stay was 3-7days with a mean of 5. 2 days. Conclusion Retroperitoneal laparoscopic surgery for adrenal occupying lesion have many advantages of minimal invasive,safe and effective,ealy recover and shorter stay in hospital. It should he the first choice of treatment for adrenal occupying lesion.