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目的探讨后腹腔镜肾上腺肿瘤切除的方法和临床应用价值。方法采用腹膜后途径腹腔镜下完成肾上腺肿瘤切除术22例。记录手术时间、估计出血量、术后并发症和术后住院时间等临床资料,并对结果进行分析。结果22例均获成功。手术时间45～125 min,平均70 min。失血量40～360 ml,平均70 ml,所有患者术中、术后均未输血,无严重并发症。术后恢复顺利,术后住院5～9 d,平均8 d。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,并发症少等优点,应成为肾上腺良性疾病的首选治疗方法。
Objective To investigate the method and clinical value of retroperitoneoscopic adrenalectomy. Methods Retroperitoneal laparoscopic approach to complete the adrenalectomy in 22 cases. Record the operation time, estimate the amount of bleeding, postoperative complications and postoperative hospital stay and other clinical data, and analyze the results. Results 22 cases were successful. Operative time 45 ~ 125 min, an average of 70 min. Blood loss 40 ~ 360 ml, an average of 70 ml, all patients were intraoperative and postoperative blood transfusions, no serious complications. Postoperative recovery was good, postoperative hospital 5 to 9 days, an average of 8 d. Conclusion Retroperitoneal laparoscopic adrenalectomy has the advantages of less tissue damage, less bleeding, faster recovery after surgery, fewer complications, faster recovery after operation, less complications and should be the preferred treatment for benign adrenal diseases.