腹膜后腹腔镜肾上腺肿瘤手术46例临床分析

Clinical analysis of 46 cases of retroperitoneally laparoscopic surgery for adrenal tumors

目的：探讨腹膜后腹腔镜手术治疗肾上腺肿瘤的临床价值。方法：回顾分析2007年10月至2009年10月为46例患者行腹膜后腹腔镜肾上腺肿瘤切除术的临床资料。结果：44例手术成功,2例中转开放手术。手术时间30~120min,平均80min,术中出血30~150ml,平均60ml,无严重并发症发生。术后住院4~9d,平均5.2d。结论：腹膜后腹腔镜肾上腺肿瘤手术具有患者创伤小、出血少、并发症少、康复快、住院时间短等优点,可作为肾上腺肿瘤手术的首选方法。

Objective：To evaluate the clinical value of retroperitoneally laparoscopic surgery for adrenal tumors.Methods：The clinical data of the 46 patients with adrenal tumors who accepted retroperitoneally laparoscopic surgery from Oct.2007 to Oct.2009 was collected and retrospectively analyzed.Results：Forty-four cases of laparoscopic surgery were successfully performed and two were converted to open surgery.The operation time was 30-120min（mean 80min）.Intraoperative blood loss was 30-150ml（mean 60ml）.Postoperative hospital stay was 4-9 days（mean 5.2 days）.No serious complications occurred.Conclusions：Retroperitoneally laparoscopic surgery for adrenal tumors has the advantages of less trauma and blood loss,fewer complications,quicker recovery and shorter hospital stay.Laparoscopic surgery can be the first choice for adrenal tumors.