33例后腹腔镜解剖性肾上腺切除术临床效果观察

Clinical effect of retroperitoneal anatomical laparoscopic adrenalectomy:report of 33 cases

目的探讨后腹腔镜解剖性肾上腺切除术在肾上腺手术中的临床效果。方法2007年6月至2009年6月对33例肾上腺疾病患者施行后腹腔镜解剖性肾上腺切除术。结果33例手术全部成功。手术时间70～175min，平均105min，所有患者术中及术后均未输血，无明显并发症。结论后腹腔镜解剖性肾上腺切除术具有视野清晰、出血少、并发症少等优点，应作为肾上腺病变的标准手术方式。

Objective To evaluate the clinical effect of retroperitoneal anatomical laparoscopic adrenalectomy（RALA）. Methods RALA was done in 33 patients with various adrenal diseases, from June 2007 to June 2009. Results All of 33 cases were successful. The operation time was ranged from 70 min to 175 min（mean 105 min） ,all patients did not receive blood transfusion and had no obvious complications. Conclusion RALA with advantages of more clear operation field,less blood loss,and less complications, might be gold standard option for adrenal disease.