后腹腔镜肾上腺肿瘤切除术(附19例报告)

Experience of 19 patients with adrenal tumor treated by retroperitoneal laparoscopic adrenalectomy

目的探讨后腹腔镜肾上腺肿瘤切除术的效果。方法后腹腔镜肾上腺瘤摘除术19例,患者平均年龄35岁,瘤体大小2.0～6.3cm,采用经腹膜后腔途径,显露肾上极及肾上腺,用超声刀、电凝钩、钛夹处理瘤体血供,摘除肿瘤。结果19例手术均获成功,无中转开放手术者。手术时间45～110min,术中失血30～120mL。随访3～23个月无并发症发生。结论后腹腔镜肾上腺肿瘤摘除术安全,疗效好,患者术后恢复快。

[Objective] To study the efficacy of the new technique of retroperitoneal laparoscopic adrenalectomy [Methods] 19 cases with adrenal tumors were treated by retroperitoneal laparoscopic adrenalectomy. The average age was 35 years old, The size of the tumors was 2.0-6.3 cm. [Results] 19 cases succeeded and complication was not observed during the follow-up of 3-23 months. [Conclusions] Retroperitoneal laparoscopic adrenalectomy for the treatment of adrenal tumors is safe, effective and less pain.