目的 :评价经腹膜后腔行腹腔镜肾上腺肿瘤切除术的临床价值 .方法 :对 2 0 0 2年 3月至今开展的6例后腹腔镜肾上腺肿瘤切除术进行分析 .6例中 4例为皮质醇腺瘤 ,2例为醛固酮腺瘤 .结果 :6例手术均获成功 ,手术时间 90～ 14 0min ,平均 110min ;失血量 30～ 10 0mL ,平均 6 0mL ,术中及术后均未输血 ,6例均无并发症 .结论 :后腹腔镜肾上腺肿瘤切除术具有对组织损伤小、出血少、术后恢复快、并发症少等优点 ,应为治疗非嗜铬细胞瘤肾上腺良性疾病的首选方法 Objective: To evaluate the clinical value of retroperitoneal laparoscopic adrenalectomy.Methods: Six cases of retroperitoneal adrenalectomy performed since March 2002 were analyzed, of which 4 were cortical Alcohol adenoma and 2 aldosterone adenoma.Results: All of the 6 cases were successful in operation, the operation time was 90-14Omin with an average of 110min and the blood loss was 30-10OmL with an average of 60mL. No blood transfusion was given during and after operation, No complications were found in 6 cases.Conclusion: Retroperitoneal laparoscopic adrenalectomy has the advantages of less tissue damage, less bleeding, faster recovery after operation, fewer complications, and is the first choice for the treatment of non-pheochromocytoma benign adrenal diseases