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目的探讨后腹腔镜手术治疗肾上腺疾病的适应证、手术安全性及其疗效。方法回顾性分析2006年4月至2007年8月采用后腹腔镜手术治疗33例肾上腺疾病患者的临床资料,分析其病变部位、疾病种类、手术方法及其疗效等。结果33例均获得成功,手术时间45～150(75±29)min。术中出血量15～110(57±42)ml,均未输血。患者术后1～3d恢复进食,并可下床活动。术后住院时间3～9(6±0.8)d。随访6个月至1年,除1例肾上腺皮质癌患者术后1年复发外,余恢复良好。结论后腹腔镜手术具有创伤小、疼痛轻、康复快等优点,治疗效果肯定,是肾上腺良性疾病首选手术方法。
Objective To investigate the indications, operative safety and efficacy of retroperitoneal laparoscopic surgery for adrenal diseases. Methods The clinical data of 33 cases of adrenal diseases treated with retroperitoneal laparoscopic surgery from April 2006 to August 2007 were analyzed retrospectively. The location of the lesions, the types of diseases, the surgical methods and their curative effects were analyzed. Results 33 cases were successful, the operation time 45 ~ 150 (75 ± 29) min. Intraoperative blood loss 15 ~ 110 (57 ± 42) ml, no blood transfusion. 1 ~ 3d patients recover after eating, and get out of bed activity. Postoperative hospital stay 3 to 9 (6 ± 0.8) d. Follow-up of 6 months to 1 year, except 1 case of adrenal cortical cancer recurrence 1 year after surgery, I recovered well. Conclusions Retroperitoneal laparoscopic surgery has the advantages of less trauma, less pain, quick recovery and so on. The treatment is affirmative and it is the first choice for benign adrenal diseases.