1992年Gagner等[1]报告了采用腹腔镜作肾上腺切除术的初步经验。随着腹腔镜技术的迅速发展及临床经验的积累，该技术的临床应用也越来越多，具有较好的应用前景[2]。现将该技术的现状和发展要点介绍如下。1设备器械[3]基本设备有CO2气腹机、腹腔镜、摄像机和监视器，以及高频电 1992 Gagner et al [1] reported the initial experience of laparoscopic adrenalectomy. With the rapid development of laparoscopic technology and the accumulation of clinical experience, the clinical application of the technology is also more and more, has a good prospect of application [2]. Now the status of the technology and development points are as follows. 1 Equipment [3] The basic equipment CO2 pneumoperitoneum, laparoscopy, cameras and monitors, and high-frequency electricity