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目的:探讨经后腹腔镜肾上腺肿瘤切除术的安全性和疗效。方法:总结分析我院2007年5月至2008年4月45例肾上腺肿瘤经后腹腔镜切除术的临床资料。45例患者年龄42.96±2.13岁,男13例,女32例,左侧22例,右侧23例,肿瘤直径2.42±0.18cm。45例患者中,经病理检查证实及结合临床诊断原发性醛固酮增多症23例,皮质醇增多症5例,嗜铬细胞瘤4例,无功能腺瘤13例。结果:45例肾上腺肿瘤43例手术成功,2例转开放。手术时间76.67±5.67min,术中失血15.85±4.56mL,1例术后输红细胞悬液400mL,术后镇痛7例次,总住院时间18.16±1.33天,术后住院时间5.64±0.33天。结论:经后腹腔镜肾上腺肿瘤切除术安全,疗效好,患者术后恢复快,是一种安全有效的治疗方式。
Objective: To investigate the safety and efficacy of retroperitoneal adrenalectomy. Methods: The clinical data of 45 cases of adrenal tumors after laparoscopic resection in our hospital from May 2007 to April 2008 were summarized. Forty-five patients were 42.96 ± 2.13 years old, 13 males and 32 females, 22 on the left, 23 on the right and 2.42 ± 0.18 cm in diameter. Of the 45 patients, 23 were confirmed by pathological examination combined with clinical diagnosis of primary aldosteronism, 5 were cortisol hyperseases, 4 were pheochromocytoma and 13 were non-functioning adenomas. RESULTS: Forty-three cases of adrenal tumors were successfully operated and 2 cases were switched to open surgery. The operation time was 76.67 ± 5.67min, the intraoperative blood loss was 15.85 ± 4.56mL. One patient was given 400mL erythrocyte suspension after operation. The postoperative analgesia was performed in 7 cases, the total hospitalization time was 18.16 ± 1.33 days and the postoperative hospital stay was 5.64 ± 0.33 days. Conclusion: The retroperitoneal laparoscopic adrenalectomy is safe and effective, and the patients recover quickly after operation. It is a safe and effective treatment.