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目的:探讨后腹腔镜手术治疗肾上腺囊肿的安全性及效果。方法:2002年5月~2011年7月,共采用后腹腔镜手术治疗肾上腺囊肿22例,囊肿直径2.0~12.7cm,平均5.9cm。结果:所有手术均成功完成,其中21例为后腹腔镜一侧肾上腺囊肿切除术,1例为后腹腔镜双侧肾上腺囊肿切除术。手术时间50~190min,平均99min;出血10~200ml,平均32ml;术后住院3~32d,平均6.8d;术后1例出现小腿肌间静脉血栓,予对症治疗后好转。术后留置肾周引流管3~9d,平均4.5d;术后随访8~118个月,平均40.5个月,未发现复发。结论:后腹腔镜手术治疗肾上腺囊肿创伤小、安全、效果满意,而且易于掌握,是治疗肾上腺囊肿的有效方法。
Objective: To investigate the safety and effect of retroperitoneal laparoscopic surgery for adrenal cyst. Methods: From May 2002 to July 2011, a total of 22 cases of adrenal cysts were treated with retroperitoneal laparoscopic surgery. The diameter of cysts was 2.0-12.7 cm (average 5.9 cm). Results: All the surgeries were successfully performed. Among them, 21 were retroperitoneal laparoscopic adrenal cyst excision and 1 was retroperitoneal laparoscopic bilateral adrenal cyst excision. The operation time was 50 to 190 minutes with an average of 99 minutes. The hemorrhage ranged from 10 to 200ml with an average of 32ml. The postoperative hospital stay was 3 to 32 days, an average of 6.8 days. One case of postoperative leg varicose vein thrombosis showed improvement after symptomatic treatment. Renal perirenal drainage tube was placed 3 to 9 days after operation, with an average of 4.5 days. The patients were followed up for 8 to 118 months with an average of 40.5 months. No recurrence was found. Conclusion: Retroperitoneal laparoscopic surgery for adrenal cyst is less invasive, safe and effective, and is easy to master. It is an effective method for the treatment of adrenal cysts.