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目的 :应用腹腔镜技术治疗肾上腺疾病 ,并评价其临床价值。 方法 :采用腹腔镜技术治疗各类肾上腺疾病 12例。疾病种类包括原发性醛固酮增多症、皮质醇增多症、无功能性腺瘤、髓性脂肪瘤和嗜铬细胞瘤。全部病例均采用腹膜后径路。 结果 :12例手术均获成功。前 6例手术时间 130～ 2 30 (平均 172 )min ;后 6例手术时间10 0～ 2 2 0 (平均 14 7)min。术中出血 10～ 6 0 (平均 15 .8)ml,未输血。术后平均住院日 5 .6天。无一例出现膈肌损伤、切口感染等并发症。 结论 :与开放手术相比 ,腹腔镜下肾上腺手术具有损伤小、切口美观、患者恢复快和住院时间短等优点 ,可作为肾上腺疾病的首选治疗方法。
Objective: To evaluate the clinical value of laparoscopic treatment of adrenal diseases. Methods: Laparoscopic treatment of various types of adrenal diseases in 12 cases. Disease types include primary aldosteronism, Cushing’s disease, non-functional adenoma, myelolipoma and pheochromocytoma. All cases were treated with retroperitoneal approach. Results: All the 12 surgeries were successful. The first 6 cases had an operation time of 130-230 (average 172) min; the last 6 cases had operation time of 10 0-2 20 (average 14 7) min. Intraoperative bleeding 10 ~ 60 (average 15.8) ml, no blood transfusion. The average postoperative hospital stay of 5.6 days. No case of diaphragmatic injury, incision infection and other complications. Conclusion: Compared with the open surgery, laparoscopic adrenalectomy has the advantages of less injury, beautiful incision, faster recovery and shorter hospital stay, which can be the first choice of treatment for adrenal diseases.