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目的:探讨腹膜后腹腔镜手术在肾上腺肿瘤切除术中的应用。方法:采用腹膜后腹腔镜手术完成肾上腺肿瘤切除术57例。结果:57例均获成功。手术时间60～150min,平均105min;失血量30～100mL,平均55mL,术中及术后均未输血。术后住院6～12d,平均9d。结论:腹膜后腹腔镜肾上腺切除手术具有对组织损伤小、出血少,术后恢复快,并发症少,术后患者康复快,住院时间短等优点,是治疗肾上腺肿瘤首选的手术方法。
Objective: To investigate the application of retroperitoneal laparoscopic surgery in adrenalectomy. Methods: Laparoscopic retroperitoneal laparoscopic surgery in 57 cases completed adrenalectomy. Results: 57 cases were successful. Surgery time 60 ~ 150min, an average of 105min; blood loss 30 ~ 100mL, an average of 55mL, intraoperative and postoperative blood transfusion. Postoperative hospital 6 ~ 12d, an average of 9d. Conclusion: Laparoscopic retroperitoneal laparoscopic adrenalectomy has the advantages of less tissue damage, less bleeding, faster recovery, fewer complications, faster recovery after surgery, shorter hospital stay, etc. It is the first choice for adrenal tumors.