后腹腔镜手术治疗肾及肾上腺疾病

Retroperitoneal laparoscopy for renal and adrenal diseases

目的应用后腹腔镜治疗肾及肾上腺疾病并评价其临床价值。方法采用腹膜后腹腔镜手术治疗肾上腺疾病55例。其中肾癌8例，肾囊肿25例，肾上腺皮质腺瘤17例，肾上腺嗜铬细胞瘤3例，肾上腺囊肿2例。结果55例手术中转开放手术3例。52例取得成功，无明显并发症。术后住院时间2～8d，平均5d。结论与开放手术相比，后腹腔镜手术具有创伤小．出血少。并发症少，术后病人恢复快，住院时间短等优点，可作为具有适压证的肾及肾上腺疾病首选的治疗方法。

Objective To apply retroperitoneal laparoscopic surgery to renal and adrenal diseases and to evaluate its clinical value. Methods Retroperitoneal laparoscopic surgery was performed in 55 patients wkh renal and adrenal laparoscpic surgery was performel n 55 patients with renal and adrenal diseases,including 8 cases of renal carcinoma,25 eases of renal cysts, 17 cases of adrenocortical adenoma,3 cases of pheochromocytoma,2 cases of adrenal gland neoplasms. Restdts Retroperitoneal laparoscopy was successfully performed in 52 cases, with no apparent complications. 3 cases were conversed to open surgery. The mean postoperative length of stay wass .5 days （ 2 - 8 d ）. Conclusion Compared with open surgery, retroperitoneal laparoscopic surgery has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery and shorter length of stay. It should be considered the first choice of therapy for renal and adrenal diseases with suitable therapeutic properties.