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目的探讨后腹腔镜手术治疗肾上腺囊肿的方法及临床意义。方法2000年3月～2004年5月我院对15例肾上腺囊肿均采用后腹腔镜手术治疗。扩张后腹膜间隙成功后,紧靠膈下纵形切开肾周筋膜,肾周筋膜内分离肾上极和肾上腺周围的脂肪组织,超声刀或电刀在肾表面分离肾脏上极和肾上腺。游离肾上腺行肾上腺部分切除或全切除。结果15例手术均获成功,其中肾上腺部分切除术12例,肾上腺全切术3例。手术时间(49.0±31.4)min,术中出血量(31.6±28.7)ml,住院时间(4.1±1.4)d。除1例术后伤口皮下气肿外,无其他术后并发症。15例术后随访(18.5±1.0)月(12～36个月),无一例复发。结论后腹腔镜手术可作为肾上腺囊肿的首选治疗方法。
Objective To investigate the method and clinical significance of retroperitoneoscopic surgery for adrenal cyst. Methods From March 2000 to May 2004, 15 cases of adrenal cysts were treated with retroperitoneal laparoscopic surgery. After the expansion of the peritoneal space succeeded, the perineal fascia was excised immediately following the diaphragmatic longitudinal length. The perirenal fascia was separated from the upper pole of the adrenal gland and the adipose tissue around the adrenal gland. An ultrasonic knife or an electric knife was used to separate the upper pole and the adrenal gland . Free adrenal line adrenalectomy or total resection. Results All the 15 surgeries were successful, including 12 cases of partial adrenalectomy and 3 cases of adrenalectomy. The operation time (49.0 ± 31.4) min, intraoperative blood loss (31.6 ± 28.7) ml, hospital stay (4.1 ± 1.4) d. In addition to 1 case of subcutaneous empyema after wounds, no other complications. Fifteen patients were followed up (18.5 ± 1.0) months (12 to 36 months) without any recurrence. Conclusions Retroperitoneal laparoscopic surgery can be the preferred treatment for adrenal cysts.