后腹腔镜肾上腺肿瘤切除术22例报告

Report of 22 Cases of Retroperitoneal Laparoscopic Adrenalectomy for Adrenal Tumors

目的探讨后腹腔镜肾上腺肿瘤切除的方法和临床应用价值。方法采用腹膜后途径腹腔镜下完成肾上腺肿瘤切除术22例。记录手术时间、估计出血量、术后并发症和术后住院时间等临床资料,并对结果进行分析。结果22例均获成功。手术时间45～125 min,平均70 min。失血量40～360 ml,平均70 ml,所有患者术中、术后均未输血,无严重并发症。术后恢复顺利,术后住院5～9 d,平均8 d。结论腹膜后腹腔镜肾上腺切除手术具有对组织损伤小、出血少,术后恢复快,并发症少,术后患者康复快,并发症少等优点,应成为肾上腺良性疾病的首选治疗方法。

Objective To explore the value and efficacy of retroperitoneal laparoseopie adrenalectomy. Methods Operations for 22 adrenal rumor patients via the retroperitoneal approach were performed, this technique in respect of operating time was evaluated, blood loss was estimated, postoperative complications and duration of hospital stay were recorded and analyzed. Results All the operations were successful ,with average operation time 70（45-125 ） minutes and average blood loss volume 70（40-360 ） ml. All patients had no need of transfusion and no complication. All patients recovered. The average recovery time after operation was 8 （5-9） days. Conclusion Retroperitoneal laparoscopic adrenalectomy was a procedure with microinvasiveness, less bleed- ing, rapid postoperative reeovery, and fewer complications. It should be used as the first choice for benign adrenal neoplasms.