Molnar Cătălin, Lata Laura, Pisica Radu, Russu Cristian, Gherghinescu Mircea, Molnar Claudiu, Borda Angela, Butiurca Vlad-Olimpiu, Suciu Bogdan-Andrei, Copotoiu Constantin
Chirurgia (Bucur). 2017 Jan-Feb;112(1):58-62. doi: 10.21614/chirurgia.112.1.58.
Myelolipomas represent 3-7% fromthe primary tumors of the adrenal gland. Most often they are incidental findings. In most cases are asymptomatic, rarely they present symptoms (pain, abdominal discomfort, hematuria or signs of internal hemorrhage). Histologically benign, this variety of tumor requires only local excision, in symptomatic forms. Their dimensions are generally up to 4-5 cm, so the laparoscopic approach seems the most appropriate. We present the case of a 65 years old patient, electively operated for a right adrenal tumor formation.Alaparoscopic right adrenalectomy was performed using an anterior transabdominal approach. No ligatures, clips or sutures were used. The intervention was accomplished with the Ligasure Maryland forceps and the Force Triad platform (Covidien Medtronic-USA). The postoperative evolution was favorable and the pathological examination highlighted an adrenal myelolipoma with intratumoral hemorrhage.
肾上腺髓质脂肪瘤占肾上腺原发性肿瘤的3%-7%。它们大多是偶然发现的。大多数情况下无症状，很少出现症状（疼痛、腹部不适、血尿或内出血迹象）。从组织学上看是良性的，这种肿瘤仅在有症状的情况下需要局部切除。其大小一般可达4-5厘米，因此腹腔镜手术似乎是最合适的。我们介绍一例65岁患者，因右侧肾上腺肿瘤形成而择期手术。采用经腹前路进行腹腔镜右肾上腺切除术。未使用结扎线、夹子或缝线。手术使用马里兰双极电凝镊和Force Triad平台（美国美敦力柯惠公司）完成。术后恢复良好，病理检查显示为肾上腺髓质脂肪瘤伴瘤内出血。
