后腹腔镜治疗肾上腺肿瘤26例报告

A report of 26 retroperitoneal laparoscopic adreanlectomy

目的探讨后腹腔镜技术在肾上腺肿瘤切除术中的应用。方法采用后腹腔镜技术切除肾上腺肿瘤26例。男10例,女16例;年龄23～67岁,平均36.5岁。左侧11例,右侧15例。其中原发性醛固酮腺瘤14例,皮质醇腺瘤7例,嗜铬细胞瘤2例,神经节细胞瘤1例,无功能性腺瘤2例。结果该组26例手术均取得成功,手术时间90～150min。术中失血70～210mL,术中术后均未输血,无明显并发症。结论后腹腔镜手术切除肾上腺肿瘤入路直接,手术效果确切,具有痛苦小、损伤小,并发症少及患者恢复快等优点,是一种安全有效的术式。

[ Objective ] To investigate the application of retroperitoneal laparoscopy for adrenal surgery. [Methods] 26cases of adrenal tumors were treated by retroperitoneal laparoseopy surgery （10 males and 16 females） aged 23-67 years （mean, 36.5 years）. The tumor was left - sided in 11 patient and right-sided in 15 patients. There were 14 cases of primary hyperaldosteronism, 7 cases of Cushing＇s disease, 2 cases of pheochromocytoma, 1 case of paraganglioma, and 2 cases of dysfunctional adenoma. [Results] The procedure was successfully completed in all the 26 patients, with no need of conversions to open surgery. The operation time was 95-150 min. The intraoperative blood loss was 70-210 mL. No blood transfusion was required. There was no complications. [Conclusions] Retroperitoneal lapamseopy for adrenalectomy has advantages of satisfactory effects, less pain and minimal invasion, less complications and quick recovery. It is a safe operation.