摘要
目的 探讨后腹腔镜手术治疗肾上腺良性疾病的效果。 方法 总结 1995年 5月～1999年 8月采用后腹腔镜手术治疗 14例肾上腺疾病患者的临床资料。 结果 14例手术全部成功。术后 13例病理诊断与术前相符 ,其中肾上腺腺瘤 9例 (原发性醛固酮增多症 5例 ,皮质醇腺瘤 1例 ,无功能腺瘤 3例 ) ,肾上腺囊肿 1例 ,皮质增生症 2例 ,嗜铬细胞瘤 1例。 1例术前诊断为嗜铬细胞瘤者术后病理证实为肾上腺髓质增生。本组无并发症 ,效果良好。术中出血约 5 0～ 10 0ml,均未输血。术后住院 7～ 11d ,平均 8.8d。手术时间 1.5～ 6 .0h ,平均 4.0h。 结论 后腹腔镜手术具有创伤小 ,康复快 ,住院时间短等优点 ,为非嗜铬细胞瘤肾上腺良性疾病的首选方法。
Objective To evaluate retroperitoneal laparoscopic surgery in the treatment of benign adrenal diseases. Methods From May.1995 to Aug.1999,14 cases of benign adrenal deseases have been treated by retroperitoneal laparoscopic surgery and the clinical data were reviewed. Results The procedure was successful in all the 14 cases.The preoperative diagnosis concided with the pathologic diagnosis in 13 cases.In the other one ,the preoperative diagnosis has been pheochromocytoma whereas it turned out to be medullo-adrenal hyperplasia on pathologic study.Altogether,there were 9 cases of adrenal adenoma (5 primary aldosteronism,1 adrenocortical adenoma, 3 nonfunctional adenoma),1 adrenal cyst;2 hyperadrenocorticism,1 pheochromocytoma and 1 medulloadrenal hyperplasia.There has been no surgical complication and the therapeutic outcome has been good.Blood loss during the procedure was 50～100*!ml with no need of blood transfusion.The operation time was 1.5～6.0 h with a mean of 4.0 hours.The postoperative hospital stay was 8.8 days. Conclusions Retroperitoneal laparoscopic surgery has the benefits of less invasive ,early resumption of normal activities and shorter hospital stay.The procedure should be the first choice of treatment for benign adrenal diseases.However the treatment for pheochromocytoma should be individualized.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第11期648-649,共2页
Chinese Journal of Urology
