Ramacciato Giovanni, Mercantini Paolo, La Torre Marco, De Ruvo Nicola, Ercolani Giorgio, Stigliano Antonio, Toscano Vincenzo
University of Rome La Sapienza, Azienda Ospedaliera Sant'Andrea, Hepatobiliary and Pancreatic Surgery, Rome, Italy.
JSLS. 2006 Jul-Sep;10(3):381-5.
Laparoscopy is now considered the gold standard for treating benign monolateral adrenal lesions. We present the case of a patient affected by Cushing's syndrome due to large bilateral adrenal adenomas (7.5 cm) who underwent simultaneous laparoscopic bilateral adrenalectomy. An anterior, lateral transperitoneal approach was used. Operative time was 200 minutes, and blood loss was 200 mL. No intraoperative complications were encountered. The postoperative course was uneventful, and the patient was discharged after 3 days. Laparoscopic bilateral adrenalectomy is a safe, effective procedure when performed by experienced hands and may be an alternative treatment for large adrenal lesions.
腹腔镜检查目前被认为是治疗良性单侧肾上腺病变的金标准。我们报告一例因双侧巨大肾上腺腺瘤（7.5厘米）导致库欣综合征的患者，该患者接受了同期腹腔镜双侧肾上腺切除术。采用经腹前外侧入路。手术时间为200分钟，失血200毫升。术中未发生并发症。术后过程顺利，患者术后3天出院。由经验丰富的医生进行腹腔镜双侧肾上腺切除术是一种安全、有效的手术方法，对于较大的肾上腺病变可能是一种替代治疗方法。
