Bravo-Lázaro Santos, Hernandis-Villalba Juan, Meroño-Carbajosa Emilio, Navío-Perales Juan, Marzal-Felici Vicente
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
Cir Cir. 2014 Sep-Oct;82(5):505-10.
Laparoscopic surgery is the standard approach for surgical adrenal gland pathology. However, the open procedure still has its role.
Our intention is to report our results and experience using different techniques.
A retrospective study of 40 patients was carried out. Demographic and surgical data were analyzed.
Thirty two patients had benign pathology and eight had malignant tumors. Laparotomy was performed in 18 patients: seven patients with malignant tumors and 11 with benign pathology. Young's approach was indicated in four patients. Laparoscopic aproach was indicated in 25 patients with seven patients requiring conversion to laparotomy. The conversion rate was 28%
In most cases, the laparoscopic approach is the standard technique. Appropriate case selection is of primary importance. Other surgical techniques should be considered if necessary.
腹腔镜手术是肾上腺疾病外科治疗的标准方法。然而，开放手术仍有其作用。
我们旨在报告使用不同技术的结果和经验。
对40例患者进行回顾性研究。分析人口统计学和手术数据。
32例患者为良性病变，8例为恶性肿瘤。18例患者行剖腹手术：7例恶性肿瘤患者和11例良性病变患者。4例患者采用杨氏手术入路。25例患者采用腹腔镜手术入路，其中7例需要转为剖腹手术。转换率为28%。
在大多数情况下，腹腔镜手术是标准技术。正确的病例选择至关重要。如有必要，应考虑其他手术技术。
