21例后腹腔镜肾上腺肿瘤切除术

目的探讨后腹腔镜切除肾上腺肿瘤的疗效。方法回顾分析海口市一八七医院2006年6月至2010年10月21例行后腹腔镜肾上腺肿瘤切除术的临床资料。结果术中腹膜破裂中转开放2例，19例手术顺利，手术时间55～300rain，平均90rain。术中出血10—100ml，平均30m1，均未输血。无大出血、感染、腹腔脏器损伤等并发症发生。19例随访3～55个月，平均12．3个月，未发现肿瘤复发和转移。结论后腹腔镜肾上腺肿瘤切除术具有安全、并发症少、疗效确切等优点。

Retroperitoneal laparoscopic adrenalectomy: 21 cases

Objective To evaluate clinical efficacy of retroperitoneal laparoscopic adrenalectomy in patients with adrenal disease.Methods 21 cases of adrenal disease undergoing retroperitoneal laparoscopic adrenalectomy from Jun.2006 to Oct.2010 were retrospectively reviewed.Results All operations were performed successfully except 2 cases were converted to open surgery due to peritoneal rupture,which resulted in difficult exposure of retroperitoneal cavity.The operation time ranged from 55 to 300 minutes,with 90 minutes as the medium.Blood loss volume ranged from 10 to 100 ml during operation (30 ml as the medium ).No blood transfusion was given.No complication such as massive hemorrhage,infection,abdominal visceral injury etc.occurred.19 patients were treated successfully and followed up from 3 to 55 months with 12.3 months as the medium.No tumor recurrence and metastasis was found in the 19 cases.Conclusion Retroperitoneal laparoscopic adrenalectomy has advantages of high safety,less complications and satisfactory efficacy in patients with adrenal diseases.