Wang David S, Terashi Toshiro
Department of Urology, Boston University School of Medicine, 720 Harrison Avenue, Suite 606, Boston, MA 02118, USA.
Urol Clin North Am. 2008 Aug;35(3):351-63, vii. doi: 10.1016/j.ucl.2008.05.009.
Laparoscopic adrenalectomy has become an accepted method for removing benign lesions of the adrenal gland. There are few contraindications to the laparoscopic approach, and the transperitoneal and retroperitoneal techniques yield excellent results. Virtually all benign lesions and select malignant lesions can be removed laparoscopically. Laparoscopic adrenalectomy has been shown to be a safe and effective approach to many forms of adrenal pathologic conditions. It should be considered the standard of care in the management of benign lesions of the adrenal gland that require surgical removal.
腹腔镜肾上腺切除术已成为切除肾上腺良性病变的一种公认方法。腹腔镜手术方法几乎没有禁忌证,经腹腔和经腹膜后技术均能取得优异效果。实际上,所有良性病变以及部分恶性病变都可通过腹腔镜切除。腹腔镜肾上腺切除术已被证明是治疗多种肾上腺病理状况的一种安全有效的方法。对于需要手术切除的肾上腺良性病变,应将其视为治疗的标准方法。