前入路腹腔镜肾上腺肿瘤切除术9例报告

LAPAROSCOPIC ADRENALECTOMY (REPORT OF 9 CASES)

目的 探讨前入路腹腔镜技术在肾上腺手术中的应用。方法 2 0 0 1年 10月～ 2 0 0 2年 8月共行前入路腹腔镜肾上腺切除术 9例。其中原发性醛固酮增多症 5例 ,嗜铬细胞瘤 3例 ,皮质醇增多症 1例。结果 9例手术均获得成功。手术时间 80～ 2 3 0min ,平均 (12 8± 5 8 6)min。 5 0～ 2 10ml,平均出血 (96± 43 )ml。所有患者术中及术后均未输血 ,无明显并发症。术后病理证实为良性病变。结论 腹腔镜肾上腺切除术具有损伤小、术后恢复快和住院时间短等优点 ,而前入路腹腔镜肾上腺手术具有视野清晰、解剖关系明显操作空间大的优点 ,可用于大多数肾上腺良性肿瘤的治疗 ,具有良好的临床应用前景。

Objective: To investigate the clinical application of laparoscopic adrenalectomy in laparoscopic adrenalectomy. Methods: From Oct. 2001 to Aug. 2002, 9 patients underwent laparoscopic adrenalectomy, among whom 5 were diagnosed as primary aldosteronism, 3 were pheochromocytoma and 1 was Cushing′s syndrome. 9 cases all underwent successful laparoscopic operations. Operating time was 80～218 (128 0±58 6) min and average bleeding was 50～210 (96±43) ml. All patients did not receive blood transfusion and had no obvious complications. Conclusions: Laparoscopic adrenalectomy has the advantages of minimal morbidity, minimal postoperative discomfort and a short hospital stay. In hands of sophisticated endoscopists, laparoscopic adrenalectomy is feasible for the treatment of benign adrenal tumors and would be substitute for most open operations.