后腹腔镜下肾上腺肿瘤切除212例临床分析

目的探讨经后腹腔镜行肾上腺肿瘤切除术的临床疗效。方法回顾性分析2006～2009年年间住院手术治疗的212例次肾上腺肿瘤患者的临床资料。分析手术时间、术后住院时间、术后引流管留置情况、手术输血情况4项指标。评价微创手术在肾上腺肿瘤治疗中的效果。结果 212例次手术中有211例成功在后腹腔镜下实施,1例中转为开放手术。手术时间40～160min,术中出血量30～900 mL;术后住院时间4～7 d。术中、术后均无明显并发症。结论经后腹腔镜肾上腺肿瘤切除手术具有创伤小、安全可靠、术后恢复快等特点,可作为治疗肾上腺肿瘤的金标准。

后腹腔镜下肾上腺肿瘤切除术28例分析

目的：探讨经后腹腔镜行肾上腺肿瘤切除术的临床疗效。方法：对28例肾上腺肿瘤患者行经后腹腔镜肾上腺肿瘤切除手术。结果：28例手术均获成功,手术时间60～160 min,术中出血量50～100 ml;术后住院时间4～7天。术中、术后均无明显并发症。结论：经后腹腔镜肾上腺肿瘤切除手术具有创伤小、安全可靠、术后恢复快等特点,具有良好的临床应用前景。

Complications of extrahepatic echinococcosis:Fistulization of an adrenal hydatid cyst into the intestine

Echinococcal cysts are usually found in liver and lungs, but any other organ can potentially be involved. Extrahepatic disease due to hydatid cyst may develop in the abdominal and pelvic cavity, aside from in other less common locations, which may make both diagnosis and treatment more complex. We present a rare case of extrahepatic echinococcosis in a 70-year old patient with a 4-d history of dull abdominal pain, anemia within the transfusion range and fever. She underwent surgery for left renal hydatid cysts 30 years ago. After non operative treatment, imaging studies showed a calcified hydatid cyst in a retrogastric location communicating with a proximal jejunal loop. En-block resection of the mass together with the adrenal gland was performed including closure of the enteric fistula. Anatomic pathology confirmed the diagnosis of a calcified hydatid cyst of left adrenal origin. Surgery is the treatment of choice and most authors recommend removal of cyst and adrenal gland.