经腹腹腔镜肾上腺切除术治疗肾上腺转移瘤
Transperitoneal laparoscopic adrenalectomy for adrenal metastasis.
作者信息
Wu Hai-yang, Yu Yanlan, Xu Li-wei, Li Xin-de, Yu Da-min, Zhang Zhi-gen, Li Gong-hui
机构信息
Department of Urology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, PR China.
出版信息
Surg Laparosc Endosc Percutan Tech. 2011 Aug;21(4):271-4. doi: 10.1097/SLE.0b013e318221b6fc.
AIM
The treatment of adrenal metastasis using laparoscopic surgery is evolving. The aim of this study was to evaluate the feasibility of laparoscopic adrenalectomy (LA) in patients who have adrenal metastases.
METHODS
From September 1998 to November 2010, 12 patients underwent LA for adrenal metastatic tumors. Three cases were bilateral and 9 were unilateral. We retrospectively reviewed the clinical and histopathologic data of all 12 patients.
RESULTS
The operations of all the 12 cases were successful. There were no intraoperative complications. The mean follow-up time was 17.2 months (range, 2 to 56 mo). We found no intraperitoneal and/or port-site recurrence. One patient had died from metastatic disease.
CONCLUSIONS
Our experience leads us to feel that LA is feasible when the primary tumor is well controlled, there are no other metastases clinically and radiologically, when the adrenal metastasis is confined to the adrenal gland, and there is no radiologic evidence of local extension into tissue around the adrenal gland.
目的
腹腔镜手术治疗肾上腺转移瘤的方法正在不断发展。本研究旨在评估腹腔镜肾上腺切除术（LA）治疗肾上腺转移瘤患者的可行性。
方法
1998年9月至2010年11月，12例患者因肾上腺转移瘤接受了LA手术。其中3例为双侧，9例为单侧。我们回顾性分析了所有12例患者的临床和组织病理学资料。
结果
12例手术均成功。无术中并发症。平均随访时间为17.2个月（范围2至56个月）。未发现腹腔内和/或穿刺孔复发。1例患者死于转移性疾病。
结论
我们的经验使我们认为，当原发肿瘤得到良好控制、临床和影像学检查未发现其他转移、肾上腺转移局限于肾上腺且无影像学证据表明肾上腺周围组织有局部侵犯时，LA是可行的。
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