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目的探讨腹腔镜下后腹膜入路肾上腺肿瘤切除术的经验和体会。方法收集我科11例在腹腔镜下经后腹膜入路行肾上腺切除或肾上腺肿瘤切除术的肾上腺肿瘤患者的临床资料。结果 11例患者手术均获得成功,无一例中转开放手术或术中、术后输血。术后随访3～10个月,无肿瘤复发、伤口感染、切口疝等并发症。结论腹腔镜下后腹膜入路肾上腺肿瘤切除术创伤小、安全性高,患者术后恢复快,适合在具有一定腹腔镜操作基础的基层医院开展。
Objective To investigate the experience and experience of laparoscopic retroperitoneal adrenalectomy. Methods The clinical data of 11 patients with adrenal tumors who underwent laparoscopic retroperitoneal adrenalectomy or adrenalectomy were collected. Results All the 11 patients were successful in operation, none of whom underwent open surgery or intraoperative or postoperative blood transfusion. All the patients were followed up for 3 to 10 months without complications of tumor recurrence, wound infection and incisional hernia. Conclusions Laparoscopic retroperitoneal adrenalectomy is a safe and effective procedure for postoperative recovery of adrenal tumors. It is suitable for primary hospitals with a certain laparoscopic operation.