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目的探讨后腹腔镜行肾上腺偶发瘤切除的临床疗效和体会。方法回顾分析我院22例行后腹腔镜肾上腺偶发瘤切除术的临床资料。结果22例手术全部成功，手术时间为45～90m i n，平均（55±10）m i n。术中出血在10-30m l ,平均16m l。术中、术后均未输血，未出现并发症。结论后腹腔镜行肾上腺偶发瘤除术安全、有效可以在基层医院开展。“,”Objective : To investigate the retroperitoneal laparoseopy resection of the adrenal incidentaloma effects and experience.Methods:The clinical data of 22 cases of laparoscopic adrenal incidentaloma were retrospectively analyzed;Results : Operations were successful y performed in 22 cases.The operative timer anged f rom 45 to 90 min(Md =55±10 min) and the operative bleeding ranged f rom 10 to 30 ml (Md = 16 ml) .There was no need of blood transfusion intra - and postoperatively,No serious complications occurred. Conclusion : Laparoscopic adrenal incidentaloma by retroperitoneal approach with safe and effective surgical method was suitable for some primary hospitals.