【摘要】 目的 探讨腹膜后腹腔镜在肾上腺手术中的应用。方法 采用腹膜后腹腔镜完成17例肾上腺占位病变切除术。结果 17例全部成功，术后病理检查证实：原发性醛固酮增多症6例，皮质醇腺瘤6例，嗜铬细胞瘤2例，肾上腺囊肿3例。术中术后均未输血，无严重并发症，手术时间平均120(60～300)min。术后住院时间平均6.5(5～8)d。结论 与开放手术相比，后腹腔镜肾上腺切除术具有创伤小、安全、住院时间短、康复快等优点，可作为肾上腺良性疾病的首选手术方法。

    【关键词】 腹腔镜手术；肾上腺疾病

    Retroperitoneal laparoscopy for adrenal surgery(report of 17 cases)

    LI Jia-he，CHEN De-xing.

    Qianwei Hospital, ChangChun 130012，China

    【Abstract】 Objective To investigate the application of retroperitoneal laparoscope for adrenal surgery.Methods 17 cases of adrenal occupying space lesion have been treated by retroperitoneal laparoscope surgery.Results The pathologic sdudy confirm that 6 cases were primary aldosteronism,6 cases adrenocortical adenoma,2 cases pheochromocytoma,3 cases adrenal cysts.All patients had no need of blood transfusion and had no complication.The average operation time was 120(60～300)min. The average hospital stay was 6.5(5～8)d.Conclusion Retroperitoneal laparoscopic adrenalectomy is a minimally invasive ......