Mugiya S, Suzuki K, Masuda H, Ushiyama T, Hata M, Fujita K
Department of Urology, Hamamatsu University School of Medicine, Japan.
J Endourol. 1996 Dec;10(6):539-41; discussion 541-3. doi: 10.1089/end.1996.10.539.
Thirteen patients who underwent laparoscopic adrenalectomy for nonfunctioning adrenal tumors were compared with seven patients who underwent open adrenalectomy. Although a longer operating time was required for laparoscopic surgery, postoperative recovery was significantly more rapid. Performance of adrenalectomy for nonfunctioning adrenal tumors is controversial, but we cannot exclude the possibility of malignancy and the potential for hormone overproduction by presumably nonfunctioning small tumors. The minimally invasive nature of laparoscopic surgery may widen the indications for adrenalectomy in patients with nonfunctioning adrenal tumors.
将13例因肾上腺无功能肿瘤接受腹腔镜肾上腺切除术的患者与7例接受开放性肾上腺切除术的患者进行了比较。尽管腹腔镜手术所需的手术时间更长，但术后恢复明显更快。肾上腺无功能肿瘤的肾上腺切除术的实施存在争议，但我们不能排除恶性肿瘤的可能性以及推测为无功能的小肿瘤产生激素过量的可能性。腹腔镜手术的微创性质可能会扩大肾上腺无功能肿瘤患者肾上腺切除术的适应症。
