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肾上腺皮质癌(adrenocortical carcinoma,ACC)是罕见高度恶性肿瘤,发病率为0.5/10~6~2.0/10~(6[1]),预后极差,严重威胁患者的生命,手术治疗是延长生存期唯一可靠的手段,但手术风险较大,术中大出血常见,国内报道手术切除率为50%~80%~([2]),且有术中大出血死亡的报道。对于巨大ACC,既往一般开放手术进行,近年来,随着腹腔镜技术的进步,行腹腔镜切除的指征在逐渐扩大,我科近期经后腹腔途径切除一直径11 cm的巨大ACC,现报告如下。1病例资料患者,男,63岁。因“查体发现右肾上腺占位10天余”于
Adrenocortical carcinoma (ACC) is a rare and highly malignant tumor with a prevalence of 0.5 / 10 ~ 6 ~ 2.0 / 10 ~ (6) [1]. The prognosis is very poor, which seriously threatens the life of the patient. Surgical treatment is to prolong survival The only reliable means, but the larger surgical risk, intraoperative bleeding is common, the domestic reported surgical resection rate was 50% ~ 80% ~ ([2]), and there were reports of intraoperative bleeding. For the huge ACC, the previous general open surgery in recent years, with the progress of laparoscopy, laparoscopic resection indications are gradually expanding, our department recently by abdominal transpectomy a diameter of 11 cm huge ACC, is now reported as follows. 1 case data patients, male, 63 years old. Because “physical examination found that the right adrenal placeholder for more than 10 days ” in