[1]王亮 张峰 李黎明.后腹腔镜手术治疗肾上腺皮质嗜酸细胞腺瘤的可行性及安全性[J].中华腔镜泌尿外科杂志(电子版),2015,(05):363-367.[doi:10.3877/cma.j.issn.1674-3253.2015.05.014 ]
　Wang Liang,Zhang Feng Li Liming..The feasibility and safety of laparoscopic surgery for adrenal oncocytoma[J].,2015,(05):363-367.[doi:10.3877/cma.j.issn.1674-3253.2015.05.014 ]
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后腹腔镜手术治疗肾上腺皮质嗜酸细胞腺瘤的可行性及安全性()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年05期
页码:
363-367
栏目:
临床研究
出版日期:
2015-12-31

文章信息/Info

Title:
The feasibility and safety of laparoscopic surgery for adrenal oncocytoma
作者:
王亮 1张峰 2李黎明 1
300052 天津，天津医科大学总医院泌尿外科1；277500 山东，滕州市中心人民医院骨科2
Author(s):
Wang Liang1;  Zhang Feng2 Li Liming1.
1.Department of General Surgery, Tianjin Medical University general hospital, Tianjing 300052,China; 2.Department of orthopedics, Tengzhou Central People's Hospital, Shandong 277500, China
关键词:
肾上腺肿瘤; 腹腔镜; 安全性; 可行性
DOI:
10.3877/cma.j.issn.1674-3253.2015.05.014
摘要:
目的探讨后腹腔镜手术治疗肾上腺嗜酸细胞腺瘤的可行性和安全性。方法分析天津医科大学总医院泌尿外科自 2009年至 2013年收治的 4例肾上腺皮质嗜酸细胞腺瘤患者的临床资料，并复习文献。4例患者术前进行完善的内分泌学检查及影像学检查。对 CT显示包膜完整，边界清楚的 3例患者行后腹腔镜手术治疗（ 2例行肾上腺全切术，1例行肾上腺部分切除术），对 CT提示边界不清，包膜欠光滑的 1例患者行开放肾上腺全切术。结果 4例患者手术均取得成功，行后腹腔镜手术的 3例患者术中见肾上腺区类圆形肿物，包膜完整，和周围界限清楚，容易分离，无明显出血，术后病理回报肾上腺皮质嗜酸细胞腺瘤，行开放手术的 1例患者术中见肾上腺区肿物，和肾脏上极有粘连，周围血管丰富，术后病理为肾上腺皮质嗜酸细胞腺瘤恶性倾向。随访 6个月～4年，无复发和转移。结论肾上腺皮质嗜酸细胞腺瘤是一种少见的疾病，肿瘤体积一般较大，对于 CT和 MRI提示包膜完整、周围无浸润的肿瘤，后腹腔镜手术是安全可行的，肾上腺部分切除术是一种可选择的手术方式。

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通讯作者：李黎明，Email:13920420809@163.com
更新日期/Last Update: 1900-01-01