后腹腔镜手术治疗肾上腺肿瘤的疗效及安全性

Effect and Safety of Retroperitoneal Laparoscopic Surgery Therapy on Children with Adrenal Tumors

目的评价后腹腔镜手术治疗小儿肾上腺肿瘤的疗效及安全性。方法2003年6月～2006年12月应用腹腔镜经腹膜后途径行小儿肾上腺肿瘤摘除术5例,肾上腺切除术3例,对其临床资料进行总结分析。结果8例均获成功,手术时间为78～255min,平均148min,患儿术中、术后均未输血。术后恢复顺利,术后住院时间3～8d,平均4.8d。术后病理诊断:原发性醛固酮症腺瘤3例,肾上腺无功能腺瘤、嗜铬细胞瘤各2例,皮质醇腺瘤1例。结论后腹腔镜手术治疗小儿肾上腺肿瘤安全、有效,具有创伤小、痛苦轻、肠功能恢复快、住院时间短等优点,有望成为小儿肾上腺疾病的首选或重要手术方法。

Objective To assess the safety and efficacy of retroperitoneal laparoscopy surgery on pediatric patients with adrenal tumor. Methods From Jun. 2003 to Dec. 2006,5 cases of tumorectomies and 3 cases of adrenalectomies via the retroperitoneal approach by laparoscopy were performed. Results All of the surgical procedures were successful. The average operative time was 148 min （ range from 78 to 255 min）. No blood transfusion was performed during the surgical procedures and post - operations. All patients recovered smoothly after the surgeries. The average length of stay in hospital was 4.8 days （ range from 3 to 8 days）. Pathologic diagnosis showed that there were 3 cases of primary aldosteronism, 2 cases of nonfunctional adenoma, 2 cases of pheochromocytoma and 1 case of Cushingg adenoma. Conclusions Retroperitoneal laparoseopie surgery is a safe, effective and less invasive procedure for the treatment of pediatric patients with adrenal tumors. The patients suffered little and their function of intestine recovered soon, which may lead to the shorter length of stay in hospital. The retroperitoneal laparoscopic surgery will probably become the preferred or the important method for the treatment of pediatric patients with adrenal diseases.