后腹腔镜术治疗肾上腺肿瘤23例

Retroperitoneal laparoscopy for adrenal tumor (report of 23 cases)

目的评价后腹腔镜术治疗肾上腺肿瘤的疗效、安全性,并总结治疗体会。方法2000年10月￣2005年6月,应用腹腔镜经腹膜后途径行肾上腺肿瘤摘除术20例,肾上腺切除术3例。结果22例成功,首例中转开放手术。手术时间65￣225min,平均138min。所有患者术中、术后均未输血。术后恢复顺利,术后住院3￣9d,平均4.8d。术后病理诊断:肾上腺无功能腺瘤9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1例,肾上腺髓性脂肪瘤1例。结论后腹腔镜术治疗肾上腺肿瘤,手术安全、有效、创伤小,病人痛苦轻,术后恢复快。

[Objective] To assess the safety and efficacy of retroperitoneal laparoscopy for adrenal tumor and report the experience with this procedure for adrenal surgery. [Methods] From October 2000 to June 2005, we performed 20 laparoscopic tumorectomy and 3 laparoscopic adrenalectomies via the retroperitoneal approach. [Results] AU procedure were successfully excepted the first case. The average operative time was 138 min （range 65 to 225 min）. All patients recovered right. The average hospital stay was 4.8 days（range 3 to 9 days）. No transfusions were performed. Pathologic diagnosis： Nonfunctional adenoma 9 cases, Primary aldosteronism 6 cases, adrenal cyst 4 cases, Pheochromocytoma 2 cases, Cushing＇ s adenoma 1 case and adrenal myelolipoma 1 case. [Conclusions] Retroperitoneal laparoscopy is a safe, effective and minimally invasive procedure for the treatment of adrenal tumors. Patients suffer little, and recover quickly from illness.