Abstract: 【Abstract】〓Objective〓To investigate the operative method and the clinical effect for treating adrenal tumors by retroperitoneal laparoscopic anatomical adrenalectomy. Methods〓Clinical data of 38 patients with adrenal tumors during 2010 to 2013 were retrospectively analyzed. Anatomical adrenalectomy were performed according to the established surgical procedure..The clinical data,.imaging and operation video were analyzed. Results〓The operations were completed successfully in all cases and intraoperative blood loss was less. Operation time was 42?鄄110 min (average 66±20.1 min). The hospital stay ranged from 3 days to 10 days with 6.6 days on average. A Follow?鄄up for 6 months to 2 years was performed and no postoperative complication and recurrent ease were found. Conclusion〓The retroperitoneal laparoscopic anatomical adrenalectomy procedure is clear in the anatomical layers, and it is easy to control and the curative effect is reliable.

Key words: Adrenal tumors, Retroperitoneal laparoscope, Anatomy, Adrenalectomy

摘要： 【摘要】〓目的〓探讨经后腹腔镜解剖性肾上腺肿瘤切除术的手术方法和临床疗效。方法〓回顾性分析2010~2013年住院手术治疗的38例肾上腺肿瘤患者的临床资料,按既定的手术步骤施行后腹腔镜解剖性肾上腺肿瘤切除术,对临床资料、影像资料和手术录像等进行分析。结果〓38例手术均获成功,手术时间42~110 min(66±20.1),术中出血少,术后住院3~10 d,平均6.6 d。术后无严重并发症发生。术后随访6个月~2年未发现复发病例。结论〓后腹腔镜解剖性肾上腺瘤切除术,解剖层次清晰,手术操作较易掌握,疗效确切。

关键词: 肾上腺肿瘤, 后腹腔镜, 解剖学, 肾上腺切除术