目的探讨腹腔镜手术治疗儿童肾上腺区巨大肿瘤(直径≥5 cm)的可行性和安全性。方法采用腹腔镜手术治疗的肾上腺区巨大肿瘤患儿5例,其中男3例,女2例;年龄3岁3个月~7岁5个月,平均年龄5.50岁;肾上腺肿瘤均位于右侧,肾上腺病灶最大直径均≥5 cm。结果 5例患儿顺利完成腹腔镜手术。手术时间120~210分钟,平均144分钟;术中出血量15~30ml,平均23 ml;术后住院时间4~10天,平均6天;出现并发症1例,为术中隔肌破裂、右侧肺水肿;术后病理检查证实为神经母细胞瘤1例,节细胞性神经母细胞瘤1例,节细胞神经瘤3例;5例均获随访6~36个月,均未发现肿瘤复发或转移。结论经腹腔镜手术治疗儿童肾上腺区巨大肿瘤切实可行、安全有效,但术前需要依据检查结果选择适当的病例,并由腹腔镜经验丰富、技术娴熟的术者进行。 Objective To investigate the feasibility and safety of laparoscopic surgery in the treatment of huge adrenal gland tumor (diameter≥5 cm) in children. Methods 5 cases of giant adrenal tumors were treated with laparoscopic surgery, including 3 males and 2 females. The patients were 3 years old from 3 months to 5 years old with a mean age of 5.50 years. The adrenal tumors were located on the right side, The maximum diameter of adrenal lesions were ≥ 5 cm. Results 5 cases of children successfully completed laparoscopic surgery. The operation time was 120 to 210 minutes with an average of 144 minutes. The intraoperative blood loss was 15 to 30 ml with an average of 23 ml. The postoperative hospital stay was 4 to 10 days with an average of 6 days. Complications occurred in 1 case, Side pulmonary edema; postoperative pathology confirmed as neuroblastoma in 1 case, ganglioneuroblastoma in 1 case, ganglioneuroma in 3 cases; 5 cases were followed up for 6 to 36 months, were not found in tumor recurrence Or transfer. Conclusion Laparoscopic surgery for adrenal gigantic tumors in children is feasible, safe and effective, but the appropriate preoperative choice based on the results of the case, and by the laparoscopic experienced and skilled surgeons.