[肾上腺肿瘤手术]

[Surgery of adrenal tumors].

作者信息

Bondarenko V O, Ermolov A S, Kovalenko T I, Kondratiev A V

出版信息

Khirurgiia (Mosk). 2004(5):61-4.

Abstract

From 1983 to 2003 examination and surgical treatment were performed in 463 patients with different adrenal tumors. Hormone-active tumors were revealed in 249 of them, non-active - in 214. Combination of CT or MRT with study of adrenal hormones is the basis of the diagnosis. In different cases multispiral computed tomography, angiography, selected taking of blood from inferior caval vein, US- or CT-guided biopsy were used. Open surgery through thoracofrenolumbotomy was performed in 392 patients, videolaparoscopic surgery - in 71. Expediency of laparoscopic surgery in line with open surgery is demonstrated.

摘要

1983年至2003年期间，对463例患有不同肾上腺肿瘤的患者进行了检查和手术治疗。其中发现249例有激素活性肿瘤，214例无激素活性肿瘤。CT或MRT与肾上腺激素研究相结合是诊断的基础。在不同情况下，采用了多排螺旋计算机断层扫描、血管造影、经下腔静脉选择性采血、超声或CT引导下活检。392例患者通过胸腹腰联合切口进行开放手术，71例进行视频腹腔镜手术。结果表明腹腔镜手术与开放手术同样有效。