Laparoscopic surgery for malignant adrenal tumors.

摘要: This paper outlines the indications and techniques of laparoscopic surgery for malignant adrenal tumors. Laparoscopic is not indicated tumors any size when invasion surrounding tissues clearly detected by preoperative imaging. When performed a tumor without that has maximum diameter more than 6 cm or considered potentially from imaging endocrine studies, it important to inform patient family may be conversion open necessary. The transperitoneal approach appropriate primary malignancies. For metastatic cancer, suitable radical extraperitoneal histological diagnosis partial resection biopsy. In either case, surgeon have sufficiently wide working space, remove fat en bloc, never grasp tissue, carefully handle ultrasonically activated scalpel ultrasonic aspirator so does touch surface due risk cell dissemination. It also essential unreasonably persist with procedures, but immediately switch becomes difficult.