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目的 探讨后腹腔镜手术治疗肾上腺疾病的方法及疗效。方法 采用后腹腔镜手术治疗肾上腺疾病 14例。结果 14例手术全部成功。其中无功能肾上腺腺瘤 4例 ,肾上腺嗜铬细胞瘤 3例 ,原发性醛固酮增多症 2例 ,肾上腺髓性脂肪瘤 1例 ,肾上腺癌 1例 ,Cushing氏征 1例 ;肾上腺囊肿 2例。手术时间 35～110min ,平均 6 5min。术中平均出血 4 0ml。术后住院时间为 3～ 14d。平均住院时间 5d。结论 腹腔镜手术治疗肾上腺疾病 ,具有损伤小 ,住院时间短 ,恢复快 ,并发症少等优点 ,是肾上腺疾病外科治疗的首选方法。
Objective To investigate the method and effect of retroperitoneal laparoscopic surgery for adrenal diseases. Methods Retroperitoneal laparoscopic surgery for adrenal diseases in 14 cases. Results All the 14 surgeries were successful. There were 4 cases of non-functioning adrenal adenoma, 3 cases of adrenal pheochromocytoma, 2 cases of primary aldosteronism, 1 case of adrenal lipoma, 1 case of adrenal carcinoma, 1 case of Cushing’s syndrome and 2 cases of adrenal cysts. Surgery time 35 ~ 110min, an average of 65min. The average intraoperative bleeding 4 0ml. Postoperative hospital stay for 3 ~ 14d. The average length of stay 5d. Conclusion Laparoscopic surgery for adrenal diseases, with less injury, shorter hospital stay, faster recovery, fewer complications, is the preferred method of surgical treatment of adrenal diseases.