Mugiya S, Ishikawa A, Kageyama S, Ushiyama T, Hata M, Ohta N, Ohtawara Y, Suzuki K, Fujita K, Tajima A
Department of Urology, Hamamatsu University School of Medicine.
Hinyokika Kiyo. 1995 Feb;41(2):81-3.
Since 1977, we have operated on 18 nonfunctioning adrenal tumors. The pathological diagnosis included seven adrenocortical adenomas, three adrenocortical hypeplasias, three ganglioneuromas two adrenal cysts, two myelolipomas and one metastatic cancer. We successfully performed laparoscopic adrenalectomy in 11 of these patients and open surgery in the other 7 patients. In the patients undergoing laparoscopic adrenalectomy, post-operative recovery (fist oral intake, first ambulation, and total convalescence) was remarkably rapid. The indication of adrenalectomy for nonfunctioning adrenal tumors is controversial, but we can not exclude the possibility of malignancy even in small tumors. Therefore, because of the minimally invasive nature of laparoscopic surgery, the indications for operating on nonfunctioning adrenal tumors will be widened by introducing laparoscopic adrenalectomy.
自1977年以来，我们已对18例无功能肾上腺肿瘤进行了手术。病理诊断包括7例肾上腺皮质腺瘤、3例肾上腺皮质增生、3例神经节瘤、2例肾上腺囊肿、2例肾上腺髓质脂肪瘤和1例转移性癌。我们成功地为其中11例患者实施了腹腔镜肾上腺切除术，另外7例患者接受了开放手术。在接受腹腔镜肾上腺切除术的患者中，术后恢复（首次经口进食、首次下床活动和完全康复）非常迅速。对于无功能肾上腺肿瘤行肾上腺切除术的指征存在争议，但即使是小肿瘤我们也不能排除恶性的可能性。因此，由于腹腔镜手术具有微创性，引入腹腔镜肾上腺切除术将扩大无功能肾上腺肿瘤的手术指征。
