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目的探讨后腹腔镜肾上腺腺瘤切除术的优越性。方法后腹腔镜肾上腺腺瘤切除术24例。肾上腺皮质腺瘤13例,醛固酮增多症6例,肾上腺囊肿4例,髓脂肪瘤1例。对临床资料进行回顾分析总结。结果24例均获成功,手术时间为35～60min,平均50min。术中出血量为30～100ml,平均65ml。术后住院时间为7～14天,平均10天。无严重并发症。结论腹腔镜肾上腺手术具有损伤小、出血少、术后患者疼痛轻、恢复快和并发症少等优点,是治疗肾上腺肿瘤的首选方法。
Objective To investigate the superiority of laparoscopic adrenalectomy. Methods Laparoscopic adrenal adenoma resection in 24 cases. 13 cases of adrenocortical adenoma, 6 cases of aldosteronism, 4 cases of adrenal cysts, 1 cases of medullary lipoma. Review the clinical data summary. Results 24 cases were successful, the operation time was 35 ~ 60min, an average of 50min. Intraoperative blood loss of 30 ~ 100ml, an average of 65ml. Postoperative hospital stay for 7 to 14 days, an average of 10 days. No serious complications. Conclusion Laparoscopic adrenal surgery with less injury, less bleeding, postoperative patients with pain, rapid recovery and fewer complications, is the preferred method of treatment of adrenal tumors.