论文部分内容阅读
目的:探讨后腹腔镜肾上腺肿瘤切除术的价值及手术经验。方法:2006年4月至2010年5月对32例患者施行后腹腔镜下肾上腺肿瘤切除术,其中原发性醛固酮增多症21例,皮质醇增多症4例,嗜铬细胞瘤2例,无功能腺瘤2例,髓样脂肪瘤3例。结果:31例手术成功,1例因术中出血转开放手术。手术时间40～150 min,平均55 min。术中出血20～180 ml,平均50 ml。术后住院时间3～12 d,平均6 d。结论:后腹腔镜下切除肾上腺肿瘤具有创伤小、出血少、恢复快、并发症少等优点,只要掌握该术式要领,也能于基层医院广泛开展。
Objective: To investigate the value and surgical experience of retroperitoneal adrenalectomy. Methods: From April 2006 to May 2010, 32 patients underwent laparoscopic adrenalectomy, including 21 cases of primary aldosteronism, 4 cases of cortisol hypersecretion, 2 cases of pheochromocytoma, and no 2 cases of functional adenoma, 3 cases of myeloid lipoma. Results: 31 cases were successfully operated and 1 case was switched to open surgery due to intraoperative blood loss. Surgery time 40 ~ 150 min, an average of 55 min. Intraoperative bleeding 20 ~ 180 ml, an average of 50 ml. Postoperative hospital stay 3 ~ 12 d, an average of 6 d. Conclusions: Retroperitoneal laparoscopic resection of adrenal tumors with less trauma, less bleeding, rapid recovery, fewer complications, as long as the essentials of the operation, but also widely carried out in primary hospitals.