【doc】俯卧位背侧入路后腹腔镜肾上腺肿瘤切除术（附13例报告）.docVIP

俯卧位背侧入路后腹腔镜肾上腺肿瘤切除术（附13例报告） 第l7卷第2期 2012年2月 腹腔镜外科杂志 J0URNALOFLAPAR0SC0PICSURGERY Vo1.17.No.2 Feb.2012 文章编号:1009—6612(2012)02—0100—03论着? 俯卧位背侧入路后腹腔镜肾上腺肿瘤切除术 (附13例报告) 任立新,张勇,谷军飞,王晓路,霍红旭,张素静 (河北医科大学第二医院,河北石家庄,050000) :l: 【摘要】目的:探讨俯卧位背侧入路行后腹腔镜肾上腺肿瘤切除术的疗效及方法.方法:回顾分析2010年6月至2011 年3月为13例患者行俯卧位经背侧入路后腹腔镜肾上腺手术的临床资料.其中男9例,女4例,35～57岁,平均45.3岁.术 前均行超声,cT或MRI等检查证实为肾上腺占位性病变.病变位于左侧7例,右侧6例.原发性醛固酮增多症8例,嗜铬细 胞瘤4例.无功能腺瘤l例.肿瘤直径1.3～4.2C111,平均2.4em.结果:13例均顺利完成手术.手术时间65～125min,平 均89.5min;术中出血量20～80m1,平均45.6ml;术后住院5～8d,平均6.6d.围手术期无并发症发生.随访5～14个月, 平均10.5个月,未见肿瘤复发及转移.结论:俯卧位背侧入路行后腹腔镜肾上腺肿瘤切除术安全可行.经背侧入路为腹腔镜 手术入路提供了新的选择. 【关键词】肾上腺肿瘤;肾上腺切除术;腹腔镜检查;体位;背侧入路 中图分类号:R699.3文献标识码:A Posteriorapproachforretr0perit0ne0sc0picadrenalectomyintheproneposition:withareportof13casesRENLi—xin,ZHANG Yong,GUJun,eta1.DepartmentofUrology,theSecondHospitalofHebeiMedicalUniversity,Shijiazhuang050000,China 【Abstract】Objective:Toexplorethemethodandefficacyoftheposteriorapproachretroperitone0sc0picadrenalectomyinthe proneposition.Methods:Theclinicaldataof13patientswithadrenaltumorswhounderwentposteriorapproachretroperitoneoscopie adrenalectomyinthepronepositionfromJun.2010toMar.2011wereretrospectivelyanalyzedinourhospita1.Therewere9menand4 women,andtheiragerangedfrom35to57yearsold,theaverageagewas45.3years.Allpatientswerediagnosedofoccupationofadre— naltumorsbyuhrasonography,CTorMRI.7easesoftumorpositionwereontheleftsideand6casesoftumorpositionwereontheright side.Ofall13cases,therewere8casesofprimaryhyperald0ster0nism,4easesofpheochromocytomaand1caseofnonfunctioningade— nonla.Thediameteroftumorrangedfrom1.3to4.2cm,theaveragediameterwas2.4em.Results:Theprocedureswereperformed successihllyinallpatients.Themeanoperativetimewas89.5ulin(rangefrom65to125min).Thebloodlosswas45.6ml(rangefrom 20to80m1).themeanhospitalstaywas6.6days(rangefrom5to8).NoperioperativecomplicationsocculTed.Atameanfollow—upof 10.5months(rangefrom5to14).Notmnorrecurrenceandmetastasiswasfoundin13cases.Conclusions:Theposteriorapproachot retr()perit0ne0scopicadrena