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目的探讨后腹腔镜在肾上腺肿瘤切除术中的临床应用。方法采用后腹腔镜完成46例肾上腺肿瘤切除术。结果46例全部成功,术后病检证实:肾上腺皮质腺瘤32例(包括皮质醇腺瘤16例,原发性醛固酮增多症12例,无功能性肾上腺皮质腺瘤4例),嗜铬细胞瘤9例,肾上腺髓样脂肪瘤3例,肾上腺囊肿并感染2例,术中及术后均未输血,无严重并发症发生。手术时间60~250 m in,中位时间105 m in。术后住院天数4~7(平均5.2)d。结论后腹腔镜肾上腺肿瘤切除术具有损伤小,安全有效,术后恢复快和住院时间短等优点,具有良好的临床应用前景。
Objective To investigate the clinical application of retroperitoneal laparoscopy in adrenalectomy. Methods Retroperitoneoscopic laparoscopic resection of 46 cases of adrenal tumors. Results All the 46 cases were successful. Postoperative pathological examination confirmed that there were 32 cases of adrenocortical adenoma (including 16 cases of cortisol adenoma, 12 cases of primary aldosteronism and 4 cases of nonfunctioning adrenocortical adenoma), pheochromocytoma 9 cases of tumor, 3 cases of adrenal myeloma, 2 cases of adrenal cyst and infection, no blood transfusion during and after surgery, no serious complications occurred. The operation time was 60 ~ 250 mins, the median time was 105 mins. Postoperative hospital days 4 to 7 (average 5.2) d. Conclusions Retroperitoneal laparoscopic adrenalectomy has the advantages of small injury, safe and effective, quick recovery after surgery and short hospital stay, which has a good clinical application prospect.