Bendinelli C, Lucchi M, Buccianti P, Iacconi P, Angeletti C A, Miccoli P
Department of Surgery, University of Pisa, Italy.
J Laparoendosc Adv Surg Tech A. 1998 Jun;8(3):119-24. doi: 10.1089/lap.1998.8.119.
Surgical treatment of adrenal metastases from non-small cell lung carcinoma (NSCLC) is a current and controversial issue. We analyze our experience with the laparoscopic treatment of NSCLC solitary adrenal metastases. In the last 4 years, six patients underwent laparoscopic adrenalectomy for suspected solitary NSCLC metastasis. A metastasis was removed in four patients and a cortical adenoma in two. Laparoscopy with intraoperative ultrasonography was demonstrated to be an excellent procedure for the diagnostic and therapeutic management of the patient affected by a solitary adrenal metastasis from NSCLC. Longer follow-up and a larger series are necessary to enable definitive conclusions to be drawn about the impact on survival of laparoscopic adrenalectomy for NSCLC metastasis.
非小细胞肺癌（NSCLC）肾上腺转移瘤的外科治疗是当前一个存在争议的问题。我们分析了我们采用腹腔镜治疗NSCLC孤立性肾上腺转移瘤的经验。在过去4年中，6例患者因疑似NSCLC孤立性转移而接受了腹腔镜肾上腺切除术。4例患者切除了转移瘤，2例患者切除了皮质腺瘤。腹腔镜检查联合术中超声检查被证明是诊断和治疗受NSCLC孤立性肾上腺转移影响患者的极佳方法。需要更长时间的随访和更大规模的病例系列，才能就腹腔镜肾上腺切除术治疗NSCLC转移瘤对生存的影响得出明确结论。
