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目的探讨后腹腔镜手术切除肾上腺肿瘤的手术技巧和效果。方法随机抽取从2009年6月至2010年10月我院收治的肾上腺肿瘤患者65例的临床资料进行回顾性分析,全部经腹膜后腔路径,在腹腔镜监视下,用超声刀游离切除肾上腺肿瘤,手术进行顺利。2例原发肾上腺皮质癌由于术中周围浸润明显且肿瘤体积超过6cm中途改为开放手术。结果 63例手术均获成功,术中术后无并发症发生。随访6个月至24个月,未发现腹腔种植性转移及操作孔转移情况。结论腹腔镜手术具有创伤小、术中出血少、住院时间短并发症少,恢复快等优点,已成为现代肾上腺肿瘤手术治疗的金标准[1]。
Objective To investigate the surgical technique and effect of retroperitoneal laparoscopic surgery for adrenal tumors. Methods The clinical data of 65 patients with adrenal tumors treated in our hospital from June 2009 to October 2010 were retrospectively analyzed. All patients underwent retroperitoneal laparoscopic resection of adrenal tumors , The operation goes well. 2 cases of primary adrenocortical cancer due to significant infiltration around the operation and the tumor volume more than 6cm midway to open surgery. Results All the 63 surgeries were successful. No postoperative complications occurred. Followed up for 6 months to 24 months, no abdominal peritoneal metastasis and operation hole metastasis were found. Conclusions Laparoscopic surgery has the advantages of less trauma, less intraoperative bleeding, shorter hospital stay, fewer complications and faster recovery. It has become the gold standard for surgical treatment of modern adrenal tumors [1].