腹腔镜下手术治疗肾上腺良性肿瘤10例报告

背景与目的:手术切除是肾上腺良性肿瘤的标准治疗方法。传统的开放手术创伤大、出血多、住院时间长;而腹腔镜手术具有创伤小、出血少、术后恢复快等优点,近年逐渐用于肾上腺良性肿瘤的切除。本文报告我院腹腔镜肾上腺良性肿瘤切除的经验。方法:回顾性分析10例经腹腔镜手术治疗的肾上腺良性肿瘤患者的临床资料,重点总结腹腔镜肾上腺肿瘤切除的手术经验和技巧。结果:9例患者手术成功,术后无严重并发症。1例中转开放手术,术后有轻度肾上腺皮质功能不全。结论:腹腔镜手术切除肾上腺良性肿瘤具有微创、安全、有效的优势,可作为首选治疗方法。

Laparoscopic Surgery for Benign Adrenal Tumor: a Report of 10 Cases

BACKGROUND & OBJECTIVE: Adrenalectomy is a standard treatment for benign adrenal tumors. Conventional open operation usually results in bigger incisions, more blood loss, and long hospital stay to patients; while laparoscopic approaches could make up above shortcomings, which is used to resect benign adrenal tumors gradually. This article was to report our experiences in laparoscopic adrenalectomy. METHODS: Clinical data of 10 patients with benign adrenal tumors undergone laparoscopic adrenalectomy were retrospectively analyzed to summarize the experiences and techniques in laparoscopic surgery. RESULTS: Of the 10 patients, 9 had tumors successfully resected by laparoscopic adrenalectomy with no severe postoperative complication; 1 switched to receive open surgery during operation, and had mild postoperative corticoadrenal insufficiency. CONCLUSION: Laparoscopic surgery for treatment of benign adrenal tumors has the advantages of minimal invasion, safety, and efficiency, and may be a primary therapeutic option for benign adrenal tumors.