Abstract：Objective: To investigate the surgical technique of laparoscopic adrenalectomy for large adrenal gland neoplasms near renal hilum. Methods: Retrospective analysis was conducted with the clinical data of 155 patients with large adrenal gland neoplasms near renal hilum from November 2004 to October 2014. Operations were performed with laparoscopic surgery via transperitoneal approach in 89 cases and via retroperitoneal approach in the other 66 cases, including adrenal adenomas 43 cases (19 cases of hypercortisolism, 6 cases of primary aldosteronism, 18 cases of nonfunctioning adrenal tumor), 65 cases of pheochromocytoma, 23 cases of adrenal myelolipoma, 16 cases of ganglioneuroma, 8 cases of adrenocortical carcinoma, The mean size of tumors was 7.5 cm. The operative time, intraoperative blood loss, complications, postoperative intestinal recovery and hospital stay were analyzed. Results: All the operations were performed successfully. No one was transferred to open surgery. The mean operating time and blood loss was 75min and 15 mL, respectively. The mean postoperative intestinal recovery and hospital stay was 28 h and 7 d, respectively. 2 cases of postoperative subcutaneous emphysema were self-healing. Acute adrenocortical insufficiency occurred after surgery in one case which was cured with a large dose of hormone. During the follow-up of 3 months to 10 years, No tumor recurrence was found. Conclusions: Both the transperitoneal and retroperitoneal laparoscopic approaches are feasible for large adrenal gland neoplasms near renal hilum with the advantage of minimal invasion. Which is safe and effective in well selected and prepared patients by experienced operator.
朱庆国,朱伟,叶烈夫,胡敏雄,何延瑜,高祥勋. 邻近肾门的大体积肾上腺肿瘤腹腔镜手术技巧(附155例报告)[J]. 微创泌尿外科杂志, 2015, 4(2): 107-109.
Zhu Qingguo, Zhu Wei, Ye Liefu, Hu Minxiong, He Yanyu, Gao Xiangxun. Laparoscopic adrenalectomy for large adrenal gland neoplasms near renal hilum:with a report of 155 cases. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(2): 107-109.
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