Ottlakán Aurél, Paszt Attila, Borda Bernadett, Simonka Zsolt, Ábrahám Szabolcs, Lázár György
Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Semmelweis u. 8., 6725.
Orv Hetil. 2017 Nov;158(45):1802-1807. doi: 10.1556/650.2017.30910.
With the development of laparoscopic adrenalectomy, indications for resection gradually span from small and benign to bigger and even malignant lesions. We studied the results of laparoscopic adrenalectomy for giant (>10 cm) adrenal tumors in three cases. Three patients (2 female, 1 male, mean age 49.33 years, BMI 31) underwent laparoscopic transperitoneal adrenalectomy due to giant (>10 cm) adrenal lesions with a limited size Pfannenstiel incision. Mean operative time was 126.66 minutes, with a mean intraoperative blood loss of 150 ml. Final histology confirmed adrenocortical carcinoma in two cases, and neurofibroma in one case. Mean hospital stay was 4 days, without perioperative complications. R0 resection was carried out in all cases. During a mean follow-up period of 24 months no local or distant metastasis occurred. Under appropriate conditions adrenalectomy performed by the laparoscopic transperitoneal technique for giant malignant tumors proved to be a safe method fulfilling oncological requirements. Orv Hetil. 2017; 158(45): 1802-1807.
随着腹腔镜肾上腺切除术的发展，肾上腺切除术的适应证逐渐从较小的良性病变扩展到较大甚至恶性病变。我们研究了3例巨大（>10 cm）肾上腺肿瘤的腹腔镜肾上腺切除术结果。3例患者（2例女性，1例男性，平均年龄49.33岁，BMI 31）因巨大（>10 cm）肾上腺病变接受腹腔镜经腹肾上腺切除术，采用有限的耻骨联合上横切口。平均手术时间为126.66分钟，平均术中出血量为150 ml。最终组织学检查证实2例为肾上腺皮质癌，1例为神经纤维瘤。平均住院时间为4天，无围手术期并发症。所有病例均实现R0切除。在平均24个月的随访期内，未发生局部或远处转移。在适当条件下，经腹腔镜经腹技术对巨大恶性肿瘤进行肾上腺切除术被证明是一种符合肿瘤学要求的安全方法。《匈牙利医学周报》。2017年；158(45): 1802 - 1807。
