后腹腔镜肾上腺神经鞘瘤切除

目的探讨后腹腔镜技术治疗肾上腺神经鞘瘤的安全性和可行性。方法回顾性分析2004年1月至2011年6月单县中心医院泌尿外科经腹膜后途径腹腔镜下切除7例肾上腺神经鞘瘤的诊治。B超偶然发现2例、血压升高3例、腰腹部酸疼2例。7例均行B超及CT检查，肿瘤位于右侧肾上腺区5例、左侧肾上腺区2例。结果7例手术均获成功，无中转开放，无大出血，肿瘤直径3．0～7．0cm，平均5．0cm；腔内手术时间45～120min，平均75min；出血量20—100ml，平均50ml；术后住院7—8d；随访2～12个月，未见肿瘤复发或远处转移。结论后腹腔镜切除肾上腺神经鞘瘤，手术出血少、创伤小、恢复快，是较好方法。

Retroperitoneal laparoscopic resection of adrenal neurilemmoma

Objective To study the safety and efficacy of retroperitoneal laparoscopic resection of adrenal neurilemmoma. Methods The data of 7 cases with adrenal neurilemmoma undergoing retroperitoneal laparoseopic resection were analyzed. 2 cases were diagnosed by ultrasound scan, 3 cases had blood pressure elevation, and 2 cases had pain in waist and abdomen. All cases underwent ultrasound and CT scan. The neurilemmoma was located in left adrenal area in 2 cases and located in right adrenal area in 5 cases. Results All the 7 cases were successfully operated. No conversion or severe blood loss happened. The average tumor size was 5.0 cm, ranging from 3.0 to 7. 0 cm. The average operation time was 75 min, ranging from 45 to 120 min. The estimated blood loss was 50 ml, ranging from 20 to 100 ml. The patients were discharged 7-8 day after the operation. During the 2-12 months of follow-up, no recurrence or metastasis was found. Conclusion Retroperitoneal laparoseopic resection offers an effective and better treatment for adrenal neurilemmoma, with the advantages of less blood loss, less trauma, and faster recovery.