肾上腺肿瘤肾上腺切除术的范围：保留皮质（次全）与全肾上腺切除术。

Extent of adrenalectomy for adrenal neoplasm: cortical sparing (subtotal) versus total adrenalectomy.

作者信息

Walz Martin K

机构信息

Clinic of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistrasse 92, D-45136, Essen, Germany.

出版信息

Surg Clin North Am. 2004 Jun;84(3):743-53. doi: 10.1016/j.suc.2004.01.003.

DOI:10.1016/j.suc.2004.01.003

PMID:15145232

Abstract

The standard operation on adrenal neoplasias is a complete adrenalectomy. Accepted exceptions are bilateral inherited pheochromocytomas. In these cases, clinical and biochemical cure, as well as preservation of cortical function, can be achieved by a noncomplete adrenalectomy. In that procedure, at least one third of one gland has to be preserved. In unilateral adrenal tumors, partial resection has been used, especially in Conns adenomas, with early results comparable to those of total adrenalectomy. Because longterm results are still limited in hyperaldosteronism, final conclusions are not possible today.

摘要

肾上腺肿瘤的标准手术是完整肾上腺切除术。公认的例外情况是双侧遗传性嗜铬细胞瘤。在这些病例中，通过非完整肾上腺切除术可实现临床和生化治愈以及保留皮质功能。在该手术中，至少必须保留一侧腺体的三分之一。在单侧肾上腺肿瘤中，已采用部分切除术，尤其是在Conn腺瘤中，早期结果与全肾上腺切除术相当。由于醛固酮增多症的长期结果仍然有限，目前尚无法得出最终结论。