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目的探讨经后腹膜腹腔镜肾上腺手术方法的临床价值。方法总结黑龙江省医院从2009年5月—2012年9月行经后腹膜腔腹腔镜肾上腺肿瘤切除术132例,其中无功能腺瘤48例,原发性醛固酮增多症52例,嗜铬细胞瘤15例,皮质醇增多症17例。结果 2例转为开放手术,其余130例手术成功。手术时间45~180 min,平均105 min,术中失血量30~600 mL,平均70 mL。2例患者术中输血。住院天数5~9 d,平均住院天数为6 d,术后125例患者随访3个月~24个月,平均为12.6个月,无远期并发症。结论经后腹膜腔腹腔镜肾上腺肿瘤切除术创伤小,恢复快,安全有效,应为肾上腺良性疾病的首选治疗方法。
Objective To investigate the clinical value of retroperitoneal laparoscopic adrenalectomy. Methods A total of 132 cases of laparoscopic adrenalectomy performed in Heilongjiang Provincial Hospital from May 2009 to September 2012 were retrospectively analyzed. Among them, there were 48 cases of non-functioning adenoma, 52 cases of primary aldosteronism, 15 cases of pheochromocytoma Cases, 17 cases of cortisol hypersecretion. Results 2 cases turned to open surgery, and the remaining 130 cases were successful. The operative time ranged from 45 to 180 minutes (mean 105 minutes). The intraoperative blood loss was 30 to 600 mL with an average of 70 mL. Two patients had intraoperative blood transfusions. The days of hospitalization ranged from 5 to 9 days, and the average length of stay was 6 days. After the operation, 125 patients were followed up for 3 months to 24 months with an average of 12.6 months, with no long-term complications. Conclusion Laparoscopic retroperitoneal laparoscopic adrenalectomy is a safe and effective method to treat adrenal gland diseases.