肾上腺外科治疗进展

叶烈夫; 吴进锋; 胡敏雄; 蔡得胜; 周启东; 蔡旺海

doi:10.13201/j.issn.1001-1420.2023.09.001

肾上腺外科治疗进展

- 福建医科大学省立临床医学院福建省立医院泌尿外科(福州，350001)

详细信息

作者简介:
叶烈夫，教授，主任医师，博士生导师，福建省立医院泌尿外科行政主任。中华医学会泌尿外科学分会委员及肿瘤学组委员，中国医师协会泌尿外科医师分会委员兼微创及机器人学组委员，福建省医学会泌尿外科学分会主任委员，世界华人医师协会泌尿外科分会常委，中国医学装备协会泌尿外科分会常委，海峡两岸医药卫生交流协会泌尿外科专业委员会常委，国际尿石症联盟委员，福建省抗癌协会泌尿男生殖肿瘤专业委员会副主任委员，福建省医师协会泌尿外科医师分会副会长兼肿瘤学组组长，福建医科大学省立临床医学院学位评定分委会委员，美国华盛顿大学医学院泌尿外科高级访问学者(Visiting Fellow in Urologic Oncology)。担任《现代泌尿外科杂志》编委，《泌尿外科杂志》电子版编委，《中国泌尿外科和男科疾病诊断治疗指南》阴茎癌诊断治疗指南分篇副主编。擅长泌尿系肿瘤诊治及微创手术，特别是泌尿男生殖系统肿瘤的机器人辅助腹腔镜手术，泌尿系肿瘤综合治疗，肾移植等

通讯作者: 叶烈夫，E-mail：yeliefu@fjmu.edu.cn

中图分类号: R736.6

收稿日期: 2023-07-10

刊出日期: 2023-09-06

Advances in surgical treatment of adrenal gland

- Department of Urology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, 350001, China

More Information

Corresponding author: YE Liefu, E-mail: yeliefu@fjmu.edu.cn

Received Date: 10 July 2023

Publish Date: 06 September 2023

摘要

摘要: 随着解剖学、病理生理学、基因组学的发展，医学家们对肾上腺疾病认识的不断深入，为肾上腺疾病的治疗提供了重要的理论依据。目前肾上腺切除术已广泛应用于多种肾上腺疾病的治疗，并取得了显著的疗效，而规范的围手术期管理也极大地提高了手术安全性。本文将回顾肾上腺外科的发展史，探讨肾上腺外科技术的相关研究最新进展，并介绍非手术治疗技术的临床应用现状。
- 肾上腺切除术 /
- 腹腔镜手术 /
- 机器人手术 /
- 消融术 /
- 动脉栓塞术
Abstract: With the development of anatomy, pathophysiology and genomics, medical scientists have been deepening the understanding of adrenal diseases so as to provide an important theoretical basis for the treatment of adrenal diseases. At present, adrenalectomy has been widely used in the treatment of various adrenal diseases, and has achieved excellent result. Standardized perioperative management has greatly improved the safety of adrenal operation. This article will review the history of adrenal surgery, discuss the latest development of adrenal surgery techniques, and introduce the clinical application of some new non-surgical techniques.
- adrenalectomy /
- laparoscopy /
- robotics /
- ablation /
- arterial embolization

HTML全文

参考文献(42)

[1]	Papadakis M, Manios A, Schoretsanitis G, et al. Landmarks in the history of adrenal surgery[J]. Hormones (Athens) 2016, 15(1): 136-141. doi: 10.1007/BF03401414
[2]	Carmichael SW, Rochester. The history of the adrenal medulla[J]. Rev Neurosci, 1989, 2(2): 83-100.
[3]	Cushing H. The basophil adenomas of the pituitary body and their clinical manifestations(pituitary basophilism). 1932[J]. Obes Res, 1994, 2(5): 486-508. doi: 10.1002/j.1550-8528.1994.tb00097.x
[4]	Oliver G, Schäfer EA. The Physiological Effects of Extracts of the Suprarenal Capsules[J]. J Physiol, 1895, 18(3): 230-276. doi: 10.1113/jphysiol.1895.sp000564
[5]	Wilson E. On Diseases of the Skin; a System of Cutaneous Medicine[J]. Am J Med Sci, 1868, 140(1): 254-254.
[6]	Osler W. Case of Addison's disease: death during treatment with the suprarenal extract[J]. Bull Johns Hopkins Hosp, 1896, 7: 208-209.
[7]	Garrod O, Simpson SA, Tait JF. The significance of the assay of aldosterone in human urine and blood[J]. Proc R Soc Med, 1956, 49(11): 885-888.
[8]	Conn JW, Knopf RF, Nesbit RM. Clinical characteristic of primary aldosteronism from an analysis of 145 cases[J]. Am J Surg, 1964, 107: 159-172. doi: 10.1016/0002-9610(64)90252-1
[9]	Fränkel F. Ein Fall von doppelseitigem, völlig latent verlaufenen Nebennierentumor und gleichzeitiger Nephritis mit Veränderungen am Circulationsapparatund Retinitis[J]. Virchows Arch, 1886, 103: 244-263. doi: 10.1007/BF01938677
[10]	Alezais H, Peyron A. Un groupe nouveau de tumeurs épithéliales: les paraganglions[J]. Compte Rend Soc Biol(Paris), 1908, 65: 745-747.
[11]	Pick L. Das Ganglioma embryonale sympathicum(Sympathoma embryonale)[J]. Berl Klin Wschr, 1912, 49: 16-22.
[12]	Welbourn RB. Early surgical history of phaeochromocytoma[J]. Br J Surg, 1987, 74(7): 594-596.
[13]	Autorino R, Bove P, De Sio M, et al. Open Versus Laparoscopic Adrenalectomy for Adrenocortical Carcinoma: A Meta-analysis of Surgical and Oncological Outcomes[J]. Ann Surg Oncol, 2016, 23(4): 1195-1202. doi: 10.1245/s10434-015-4900-x
[14]	Yip L, Duh QY, Wachtel H, et al. American Association of Endocrine Surgeons Guidelines for Adrenalectomy: Executive Summary[J]. JAMA Surg, 2022, 157(10): 870-877. doi: 10.1001/jamasurg.2022.3544
[15]	Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma[J]. N Engl J Med, 1992, 327(14): 1033. doi: 10.1056/NEJM199210013271417
[16]	徐大华. 经腹腔镜肾上腺切除术[J]. 普外临床, 1995, 10(5): 3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHPZ199505005.htm
[17]	Uchida M, Imaide Y, Yoneda K, et al. Endoscopic adrenalectomy by retroperitoneal approach for primary aldosteronism[J]. Hinyokika Kiyo, 1994, 40(1): 43-46.
[18]	徐忠华, 胡三元, 郑宝钟, 等. 经腹膜后腹腔镜手术治疗肾及肾上腺疾病(附2例报告)[J]. 山东医科大学学报, 1997, 35(4): 353-354. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYB704.030.htm
[19]	Zhang X, Fu B, Lang B, et al. Technique of anatomical retroperitoneoscopic adrenalectomy with report of 800 cases[J]. J Urol, 2007, 177(4): 1254-1257. doi: 10.1016/j.juro.2006.11.098
[20]	Conzo G, Tartaglia E, Gambardella C, et al. Minimally invasive approach for adrenal lesions: Systematic review of laparoscopic versus retroperitoneoscopic adrenalectomy and assessment of risk factors for complications[J]. Int J Surg, 2016, 28 Suppl 1: S118-S123.
[21]	叶烈夫, 谢泽铨, 陈从其, 等. 经腹腔径路腹腔镜肾上腺切除术108例手术体会及经验总结[J]. 华中科技大学学报(医学版), 2012, 41(4): 490-493. https://www.cnki.com.cn/Article/CJFDTOTAL-TJYX201204023.htm
[22]	Vatansever S, Nordenström E, Raffaelli M, et al. Robot-assisted versus conventional laparoscopic adrenalectomy: Results from the EUROCRINE Surgical Registry[J]. Surgery, 2022, 171(5): 1224-1230. doi: 10.1016/j.surg.2021.12.003
[23]	Lee BR, Bishoff JT, Janetschek G, et al. A novel method of surgical instruction: international telementoring[J]. World J Urol, 1998, 16(6): 367-370. doi: 10.1007/s003450050082
[24]	Horgan S, Vanuno D. Robots in laparoscopic surgery[J]. J Laparoendosc Adv Surg Tech A, 2001, 11(6): 415-419. doi: 10.1089/10926420152761950
[25]	Krane LS, Shrivastava A, Eun D, et al. A four-step technique of robotic right adrenalectomy: initial experience[J]. BJU Int, 2008, 101(10): 1289-1292. doi: 10.1111/j.1464-410X.2008.07433.x
[26]	Morino M, Benincà G, Giraudo G, et al. Robot-assisted vs laparoscopic adrenalectomy: a prospective randomized controlled trial[J]. Surg Endosc, 2004, 18(12): 1742-1746. doi: 10.1007/s00464-004-9046-z
[27]	Isiktas G, Avci SN, Erten O, et al. Laparoscopic versus robotic adrenalectomy in severely obese patients[J]. Surg Endosc, 2023, 37(2): 1107-1113. doi: 10.1007/s00464-022-09594-z
[28]	Agcaoglu O, Aliyev S, Karabulut K, et al. Robotic versus laparoscopic resection of large adrenal tumors[J]. Ann Surg Oncol, 2012, 19(7): 2288-2294. doi: 10.1245/s10434-012-2296-4
[29]	王燕, 瞿旻, 梅妮, 等. 国产腔镜机器人用于根治性前列腺切除术的Ⅲ期随机对照研究[J]. 中华泌尿外科杂志, 2021, 42(7): 485-490.
[30]	张超, 王正, 张宗勤, 等. 国产单孔蛇形臂机器人手术系统在零缺血肾部分切除术中的初步应用[J]. 中华泌尿外科杂志, 2022, 43(2): 132-137. https://www.cnki.com.cn/Article/CJFDTOTAL-DEJD202210012.htm
[31]	Berber E, Tellioglu G, Harvey A, et al. Comparison of laparoscopic transabdominal lateral versus posterior retroperitoneal adrenalectomy[J]. Surgery, 2009, 146(4): 621-625;discussion 625-626. doi: 10.1016/j.surg.2009.06.057
[32]	Kahramangil B, Kose E, Berber E. Characterization of fluorescence patterns exhibited by different adrenal tumors: Determining the indications for indocyanine green use in adrenalectomy[J]. Surgery, 2018, 164(5): 972-977. doi: 10.1016/j.surg.2018.06.012
[33]	Teno S, Tanabe A, Nomura K, et al. Acutely exacerbated hypertension and increased inflammatory signs due to radiation treatment for metastatic pheochromocytoma[J]. Endocr J, 1996, 43(5): 511-516. doi: 10.1507/endocrj.43.511
[34]	Franzese C, Stefanini S, Scorsetti M. Radiation Therapy in the Management of Adrenal Metastases[J]. Semin Radiat Oncol, 2023, 33(2): 193-202. doi: 10.1016/j.semradonc.2022.11.001
[35]	Eid M, Foukal J, Sochorová D, et al. Management of pheochromocytomas and paragangliomas: Review of current diagnosis and treatment options[J]. Cancer Med, 2023, 12(13): 13942-13957. doi: 10.1002/cam4.6010
[36]	金从军, 邵玉军, 曾正陪, 等. ¹³¹I-间位碘代苄胍治疗恶性嗜铬细胞瘤/副神经节瘤的临床疗效分析[J]. 中华泌尿外科杂志, 2015, 36(1): 24-28.
[37]	Nölting S, Ullrich M, Pietzsch J, et al. Current Management of Pheochromocytoma/ Paraganglioma: A Guide for the Practicing Clinician in the Era of Precision Medicine[J]. Cancers(Basel), 2019, 11(10): 1505.
[38]	Liu SY, Chu CM, Kong AP, et al. Radiofrequency ablation compared with laparoscopic adrenalectomy for aldosterone-producing adenoma[J]. Br J Surg, 2016, 103(11): 1476-1486.
[39]	Mayo-Smith WW, Dupuy DE. Adrenal neoplasms: CT-guided radiofrequency ablation--preliminary results[J]. Radiology, 2004, 231(1): 225-230.
[40]	Fowler AM, Burda JF, Kim SK. Adrenal artery embolization: anatomy, indications, and technical considerations[J]. AJR Am J Roentgenol, 2013, 201(1): 190-201.
[41]	O'Halpin D, Legge D, MacErlean DP. Therapeutic arterial embolisation: report of five years' experience[J]. Clin Radiol, 1984, 35(2): 85-93.
[42]	Ierardi AM, Petrillo M, Patella F, et al. Interventional radiology of the adrenal glands: current status[J]. Gland Surg, 2018, 7(2): 147-165.