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首页> 外文期刊>Journal of Surgical Oncology >Role of laparoscopy in the management of adrenal malignancies.
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Role of laparoscopy in the management of adrenal malignancies.

机译：腹腔镜在肾上腺恶性肿瘤管理中的作用。

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摘要

BACKGROUND AND OBJECTIVES: The role of laparoscopic approach for the treatment of malignant adrenal diseases is still controversial. The aim of this study was to verify the results of laparoscopic adrenalectomy (LA) in the management of adrenal malignancies. METHODS: The medical records of all the patients who underwent laparoscopic procedures for adrenal diseases and in whom malignancy was demonstrated at final histology were reviewed. RESULTS: Nine patients were included (three malignant pheochromocytomas, four adrenocortical carcinomas, and two adrenal metastases). At a mean follow-up of 23.0 months, all but two patients were alive. One patient died for metastatic disease and the other one for unrelated causes. One patient operated on for an adrenocortical carcinoma developed a pelvic recurrence. One patient operated on for a malignant pheochromocytoma developed multiple intra-abdominal recurrences. No other case of recurrence was observed. CONCLUSIONS: The results of this study demonstrate that LA can have a role also in case of adrenal malignancies. Conversion to open surgery is mandatory in case of local invasion and when the dissection cannot be as accurate as in conventional operations. A preliminary laparoscopic exploration can be planned in case of suspected malignant lesions to confirm the diagnosis and to evaluate their operability.
机译：背景与目的：腹腔镜治疗恶性肾上腺疾病的作用仍存在争议。这项研究的目的是验证腹腔镜肾上腺切除术（LA）在治疗肾上腺恶性肿瘤中的结果。方法：回顾了所有接受腹腔镜手术治疗肾上腺疾病并在最终组织学上证实为恶性肿瘤的患者的病历。结果：共纳入9例患者（3例恶性嗜铬细胞瘤，4例肾上腺皮质癌和2例肾上腺转移瘤）。在平均23.0个月的随访中，除两名患者外，其他所有患者都还活着。一名患者死于转移性疾病，另一名患者死于无关原因。一名接受肾上腺皮质癌手术的患者出现盆腔复发。一名接受恶性嗜铬细胞瘤手术的患者发生了多次腹腔内复发。没有观察到其他复发病例。结论：这项研究的结果表明，LA在肾上腺恶性肿瘤中也可以发挥作用。如果局部浸润并且解剖不能像常规手术一样精确，则必须改用开放手术。如果怀疑有恶性病变，可以计划进行初步的腹腔镜检查，以确认诊断并评估其可操作性。

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