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目的探讨后腹腔镜肾上腺肿瘤手术的临床解剖及应用。方法利用后腹腔内3个潜在解剖间隙游离肾上腺,分析57例后腹腔镜肾上腺肿瘤手术治疗效果及恢复情况。结果除2例肾上腺手术中途改行开放手术外,余55例均获得成功。本组手术时间55min～2.5h,平均68min,术后平均住院时间为5.5d。结论后腹腔镜肾上腺肿瘤切除术具有术野清晰、损伤小、术后恢复快等优点,适用于功能性肾上腺肿瘤、偶发瘤以及局限性肾上腺恶性肿瘤。
Objective To investigate the clinical anatomy and application of retroperitoneal laparoscopic surgery for adrenal tumors. Methods Three adrenal glands were retrospectively analyzed in three potential anatomic gaps in the posterior abdomen. Fifty-seven cases of retroperitoneal laparoscopic adrenal tumors were analyzed retrospectively. Results In addition to 2 cases of adrenal surgery in the middle of conversion surgery, the remaining 55 cases were successful. The operation time 55min ~ 2.5h, an average of 68min, the average postoperative hospital stay was 5.5d. Conclusions Retroperitoneal laparoscopic adrenalectomy has the advantages of clear field, less damage and quick recovery after operation. It is suitable for functional adrenal tumors, sporadic tumors and localized adrenal malignancies.