부신 질환에 대한 외과적 치료의 최근 경향

• 영문명: Recent Trends in Surgical Management of Adrenal Diseases
• 발행기관: 대한내분비외과학회
• 저자명: 김정한 Jung-Han Kim M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』11권4호, 229~233쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2011.12.30

영문 초록

Laparoscopic adrenalectomy (LA) has become the standard for the management of benign adrenal tumors since Gagner reported a successful surgery in 1992. Conventional open adrenalectomies have been replaced by LA because of significant advantages such as reduced wound pain and hospital stays, decreased transfusion requirements, and postoperative complications. In addition to the development of laparoscopic surgery, robot-assisted adrenalectomies are gaining popularity worldwide. The robotic system offers several advantages: it magnifies a surgeon's view with 3D optics, offers excellent resolution and depth perception, and the robotic wrists offer 7 degrees of freedom, allowing for precise movements. Another new technique of laparoscopic adrenal surgery is single-port surgery, which is an effort to reduce the number of trocars and their related wound complications. Although this is technically more difficult compared to conventional laparoscopic surgeries, patients are satisfied with a single-site scar and reduced pain. In this paper, the recent development of new techniques in adrenal surgery are introduced and their specific advantages and disadvantages are discussed. Also, this article reviews the clinical results of a partial adrenalectomy for small benign adrenal tumors and adrenalectomies for single adrenal metastasis from extra-adrenal malignancy. (Korean J Endocrine Surg 2011;11:229-233)

키워드

부신절제술, 부신종양,Adrenalectomy, Adrenal tumor