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目的 探讨与评价后腹腔镜手术治疗肾上腺肿瘤的临床价值。方法 回顾性分析经后腹腔镜肾上腺肿瘤切除术 15例的临床资料。结果 15例中手术成功 14例 ,术后 15例病理诊断为皮质醇腺瘤 8例 ,嗜铬细胞瘤 4例 ,醛固酮腺瘤 2例 ,节细胞神经瘤 1例。术后并发胰瘘 2例 ,经治疗均痊愈。未成功 1例为后腹腔镜早期手术 ,术后大出血行开放手术治愈。术后住院平均9 5± 2 6天 ,平均手术时间 15 3 0± 63 9min。结论 后腹腔镜手术具有创伤小、肠功能恢复快、住院时间短等优点 ,为肾上腺疾病首选或重要手术方法。除肿瘤直径 >6cm ,伴有心脑损害及位于肝后方或下腔静脉后方的嗜铬细胞瘤 ,及体胖的皮质醇腺瘤外均为腹腔镜手术适应证
Objective To investigate and evaluate the clinical value of retroperitoneal laparoscopic surgery for adrenal tumors. Methods The clinical data of 15 cases with retroperitoneal laparoscopic adrenalectomy were retrospectively analyzed. Results Of the 15 cases, 14 cases were successfully operated and 15 cases were diagnosed as Cortisol adenoma in 8 cases, Pheochromocytoma in 4 cases, Aldosterone adenoma in 2 cases and Ganglioneuroma in 1 case. Postoperative pancreatic fistula in 2 cases, after treatment were cured. One case was unsuccessful for early laparoscopic surgery, postoperative hemorrhage was cured by open surgery. The average postoperative hospital stay was 95 ± 26 days with an average operation time of 15 3 0 ± 63 9 min. Conclusions Retroperitoneal laparoscopic surgery has the advantages of less trauma, faster recovery of intestinal function and shorter hospital stay, which is the first choice or an important surgical method for adrenal diseases. In addition to tumor diameter> 6cm, associated with heart and brain damage and located behind the liver or inferior vena cava pheochromocytoma, and body fat cortisol adenoma are laparoscopic surgery indications