Bonjer H J, van der Harst E, Steyerberg E W, de Herder W W, Kazemier G, Mohammedamin R S, Bruining H A
Department of Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands.
World J Surg. 1998 Dec;22(12):1246-9. doi: 10.1007/s002689900553.
Conventional adrenalectomy requires relatively large incisions. To assess the value of retroperitoneal endoscopic adrenalectomy, a case-control study was performed comparing the endoscopic technique to conventional posterior adrenalectomy. All patients had adrenal tumors less than 7 cm in diameter. Endoscopic retroperitoneal adrenalectomy required more operative time (90 vs. 60 minutes, p < 0.0001) than the open approach but was associated with less blood loss (20 vs. 125 ml, p < 0.0001). Endoscopic adrenalectomy caused less pain postoperatively (p = 0.0005) and was associated with fewer complications (p = 0.035). The hospital stay was shorter after endoscopic adrenalectomy than after open adrenalectomy (p < 0.0001). In conclusion, we advocate endoscopic retroperitoneal adrenalectomy in patients with small adrenal tumors.
传统肾上腺切除术需要相对较大的切口。为评估后腹腔镜肾上腺切除术的价值，进行了一项病例对照研究，将内镜技术与传统后入路肾上腺切除术进行比较。所有患者的肾上腺肿瘤直径均小于7厘米。与开放手术相比，后腹腔镜肾上腺切除术所需手术时间更长（90分钟对60分钟，p<0.0001），但失血量更少（20毫升对125毫升，p<0.0001）。内镜肾上腺切除术术后疼痛较轻（p=0.0005），并发症较少（p=0.035）。后腹腔镜肾上腺切除术后的住院时间比开放肾上腺切除术后短（p<0.0001）。总之，我们主张对肾上腺小肿瘤患者行后腹腔镜肾上腺切除术。
