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Abstract：
The aim is to present our case series documenting indications, laparoscopic technique, surgical and endocrinologic outcomes of laparoscopic partial adrenalectomy. In the period from April 2011 until October 2021, we performed 39 procedures. The patients were divided into three groups: unilateral adrenal gland tumor with a normal contralateral gland (group 1), tumor of the solitary adrenal gland (group 2), and adrenal cysts (group 3). There were 20 patients in group 1, 6 patients in group 2, and 13 patients in group 3. The most common histology in group 1 was adenoma (40%), all tumors in group 2 were renal cell carcinoma metastases, and all cysts in group 3 were benign. There were no major complications (Clavien Dindo grade ≥2) in the whole cohort. All patients in groups 1 and 3 had favorable endocrinologic outcomes, and 50% of group 2 patients required lifelong hydrocortisone replacement therapy. The procedure is safe and feasible with favorable outcomes in the hands of a high volume adrenal surgeon.
摘要：
目的是介绍我们的病例系列记录适应症，腹腔镜技术，腹腔镜肾上腺部分切除术的手术和内分泌结果。在2011年4月至2021年10月期间，我们执行了39次手术。将患者分为三组：单侧肾上腺肿瘤与正常对侧腺体（组1），孤立性肾上腺肿瘤（第2组），和肾上腺囊肿（第3组）。第1组20例，第2组6例，第3组13例。第1组中最常见的组织学是腺瘤（40％），第2组所有肿瘤均为肾细胞癌转移，3组所有囊肿均为良性。在整个队列中没有重大并发症（ClavienDindo等级≥2）。第1组和第3组的所有患者都有良好的内分泌结局，第2组患者中有50%需要终身氢化可的松替代治疗.该程序是安全可行的，在高容量的肾上腺外科医生手中取得了良好的结果。
