论文部分内容阅读
目的 探讨后腹腔镜手术治疗肾上腺疾病的操作要点及临床价值。 方法 采用后腹腔镜手术治疗肾上腺疾病 2 8例 ,其中原发性醛固酮腺瘤 4例 ,皮质醇腺瘤 16例 ,髓样脂肪瘤 3例 ,Cushing综合征 2例 ,嗜铬细胞瘤 3例。 结果 手术均获成功 ,手术时间平均 10 0 (40～ 30 0 )min ,术中出血平均6 0 (10～ 35 0 )ml。术后 1～ 2d肠道功能恢复 ,恢复进食并可床上活动 ,1～ 4d可下床活动。术后住院时间平均 6 (3～ 10 )d。除 1例肾上腺中央静脉损伤外无明显并发症。 结论 与开放手术相比 ,后腹腔镜肾上腺切除术具有创伤小、安全、住院时间短、康复快等优点 ,可作为肾上腺良性疾病的首选手术方法
Objective To investigate the operative points and clinical value of retroperitoneal laparoscopic surgery for adrenal diseases. Methods Retroperitoneal laparoscopic surgery for adrenal disease in 28 cases, including 4 cases of primary aldosterone, 16 cases of cortisol adenoma, 3 cases of myeloid lipoma, Cushing syndrome in 2 cases, 3 cases of pheochromocytoma. Results All the operations were successful. The average operative time was 100 (40-30) min and the average intraoperative bleeding was 60 (10-35 0) ml. 1 ~ 2d postoperative intestinal function recovery, recovery and bed activity, 1 ~ 4d can get out of bed activity. The average postoperative hospital stay was 6 (3 to 10) days. In addition to 1 case of central adrenal vein injury without significant complications. Conclusions Compared with open surgery, retroperitoneal laparoscopic adrenalectomy has the advantages of small trauma, safety, short hospital stay and quick recovery, which can be the first choice for benign adrenal diseases