Maestre-Maderuelo Maria, Candel-Arenas Marife, Terol-Garaulet Emilio, González-Valverde Francisco Miguel, Marín-Blazquez Antonio Albarracin
Servicio de Cirugía General, Hospital General Universitario Reina Sofía, Murcia, Spain.
Cir Cir. 2013 May-Jun;81(3):196-201.
Laparoscopic approach has become the gold standard for the surgical treatment of suprarenal gland. Nevertheless there is still controversy about the laparoscopic treatment of adrenal carcinoma.
From April 2005 to April 2012, 37 laparoscopic adrenalectomies were performed. We describe and analyze retrospectively: age, sex, side, indication for surgery, tumor size, length of hospital stay, complications and conversion rate.
37 Patients, 19 male and 18 female, aged 51.72 ± 14.42 years, were operated on between 2005 and 2012. Twenty-two left-sided lesions (59.45%) and 15 right-sided lesions (40.54%) were operated on. The indications for surgery were non-functioning adenoma larger than 4 cm or rapid growth and hormone-secreting tumours. The diagnosis was confirmed in all the cases with computed tomography and or magnetic resonance imaging and also metaiodobenzylguanidine scintigraphy if pheochromocytoma was suspected. In all the cases we realized a complete pre-operative hormonal study.
Laparoscopic adrenalectomy is a safe procedure and gold standard technique for suprarenal surgery. Our experience is very satisfactory, with comparable results to the reference standard open approach.
腹腔镜手术已成为肾上腺外科治疗的金标准。然而，肾上腺皮质癌的腹腔镜治疗仍存在争议。
2005年4月至2012年4月，共进行了37例腹腔镜肾上腺切除术。我们对患者的年龄、性别、手术侧别、手术指征、肿瘤大小、住院时间、并发症及中转开腹率进行回顾性描述与分析。
2005年至2012年间，对37例患者进行了手术，其中男性19例，女性18例，年龄51.72±14.42岁。左侧病变22例（59.45%），右侧病变15例（40.54%）。手术指征为直径大于4cm的无功能腺瘤或生长迅速的腺瘤以及分泌激素的肿瘤。所有病例均通过计算机断层扫描和/或磁共振成像确诊，怀疑嗜铬细胞瘤时还进行了间碘苄胍闪烁扫描。所有病例均进行了完整的术前激素检查。
腹腔镜肾上腺切除术是一种安全的手术方法，是肾上腺手术的金标准技术。我们的经验非常令人满意，结果与传统的开放手术相当。
