CAJ | 학술논문

目的总结后腹腔镜肾上腺手术的临床经验,提高治疗水平.方法回顾性分析我院泌尿外科应用后腹腔镜技术施行的66例肾上腺肿瘤切除术的临床资料.肿瘤位于左侧22例,右侧44例;直径1.2～6.4 cm,平均3.3 cm.无功能肾上腺腺瘤36例,原发性醛固酮增多症13例,肾上腺嗜铬细胞瘤10例,肾上腺髓性脂肪瘤6例,肾上腺囊肿1例.结果 62例手术获得成功,4转开放手术.手术时间35～190 min,平均90 min.术中出血20～800 ml,平均70 ml,术中或术后输血5例.术后随访3～36个月,平均16个月,均无远期并发症及肿瘤复发.结论后腹腔镜肾上腺肿瘤手术安全,创伤小,恢复快,住院时间较短,是肾上腺良性肿瘤的首选术式.
목적 총결후복강경신상선수술적림상경험,제고치료수평.방법 회고성분석아원비뇨외과응용후복강경기술시행적66례신상선종류절제술적림상자료.종류위우좌측22례,우측44례;직경1.2～6.4 cm,평균3.3 cm.무공능신상선선류36례,원발성철고동증다증13례,신상선기락세포류10례,신상선수성지방류6례,신상선낭종1례.결과 62례수술획득성공,4전개방수술.수술시간35～190 min,평균90 min.술중출혈20～800 ml,평균70 ml,술중혹술후수혈5례.술후수방3～36개월,평균16개월,균무원기병발증급종류복발.결론 후복강경신상선종류수술안전,창상소,회복쾌,주원시간교단,시신상선량성종류적수선술식.
Objective To summarize the operative experience and to study the value and efficacy of retroperitoneal laparoseopie adrenaleetomy.Methods Clinical data of 66 cases undergoing retroperitoneal laparoscopic adrenalectomy in Yijishan Hospital were retrospectively reviewed.There were 22 cases with adrenal adenoms located at left side and 44 cases at fight side.Tumor diameter was from 1.2 to 6.4 cm,with 3.3 cm as the average.There were 36 cases of nonfunctional adrenal adenoma,13 cases of primary hyperaldosteronism,10 cases of adrenal pheochromocytoma,6 cases of adrenal myelolipoma,and 1 case of adrenal cyst.Results 4 cases were converted to open surgery while the other 62 cases were completed successfully.The operation duration was from 35 to 190 min,with 90 min as the average.Intraoperative blood loss was from 20 to 800 ml,with 70 ml as the average.5 cases received blood transfusion because of massive hemorrhage.All cases were followed up for 3to 36 months.None of them had long-term complications or recurrence.Conclusion Retroperitoneal laparoscopic adrenalectomy has advantages of safety,less trauma,short hospitalization time,and quick recovery,making it the flint choice for patients with benign adrenal neoplasms.