后腹膜途径腹腔镜手术治疗复杂性肾上腺肿瘤临床研究

Clinical research of retroperitoneal laparoscopic surgery in the treatment of complex adrenal tumors

目的探讨后腹膜途径腹腔镜手术治疗复杂性肾上腺肿瘤的临床效果。方法回顾性分析11例复杂性肾上腺肿瘤患者的临床诊治资料,其中男4例、女7例,平均年龄(48.0±13.0)岁,肾上腺髓性脂肪瘤4例、肾上腺嗜铬细胞瘤3例、肾上腺囊肿2例、肾上腺皮质腺瘤1例、肾上腺节细胞神经瘤1例,平均肿瘤直径(6.5±1.2)cm。结果本组患者手术均顺利完成,平均手术时间(95.0±15.0)min,失血量(50.0±15.0)mL,术后住院时间(4.5±1.3)d,随访1年,均未见肿瘤复发。结论采用后腹膜途径腹腔镜手术治疗复杂性肾上腺肿瘤效果良好,但要求手术医师熟练掌握腹腔镜操作技术,以安全实施后腹膜途径腹腔镜手术。

Objective To explore the laparoscopic surgery by retroperitoneal approach in the treatment of complex adrenal tumors.Methods The clinical data of 11 cases with complex adrenal tumors was retrospectively analyzed.There were 4 males and 7 females,with an average age of(48.0±13.0)years,including 4 cases with adrenal myelolipoma,3 with adrenal pheochromocytoma,2 with adrenal cysts,1 with adrenocortical carcinoma and 1 with adrenal ganglioneuroma.The average tumor diameter was(6.5±1.2)cm.Results All the operations were successfully completed.The average operation time was(95.0±15.0)min,blood loss was(50.0±15.0)mL,and the postoperative hospital stay was(4.5±1.3)days.No patient with tumor recurrence was found after 1 year follow-up.Conclusion Retroperitoneal laparoscopic surgery is effective in the treatment of complex adrenal tumors,but it requires experienced physician to operate the laparoscopic surgery so as to safely carry out retroperitoneal laparoscopic surgery for complex adrenal tumors.