후복막 접근법을 통한 복강경 부신절제술의 초기 경험

• 영문명: Initial Experience with Posterior Retroperitoneoscopic Adrenalectomy for the Adrenal Tumors
• 발행기관: 대한내분비외과학회
• 저자명: 김태형 이초록 박슬기 박재현 정준수 강상욱 정종주 남기현 정웅윤 박정수 Tae Hyung Kim M.D. Cho Rok Lee M.D. Seulkee Park M.D. Jae Hyun Park M.D. Jun Soo Jeong M.D. Sang-Wook Kang M.D. Jong Ju Jeong M.D. Kee- Hyun Nam M.D. Woong Youn Chung M.D. and Chung Soo Park M.D. FACS
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』11권4호, 287~291쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2011.12.30

영문 초록

Purpose: Posterior retroperitoneoscopic adrenalectomy (PRA) for small adrenal tumors has recently been in the spotlight due to its several benefits. Compelling advantages for endoscopic surgeons include direct, safe, and fast approach to the adrenal gland without trespass to the intraperitoneal organ. This study reports our initial experiences of PRA for the management of adrenal tumors. Methods: From December 2009 to August 2011, 63 patients underwent PRA for the management of adrenal tumor. Among these patients, laparoscopic adrenalectomy and robotic adrenalectomy were performed in 54 and nine patients, respectively. We retrospectively reviewed records of all surgical outcomes. Results: Of the 54 patients, 22 were male and 32 were female, and mean age was 51.7±14.0 years. Mean body mass index was 24.6±3.6 kg/m² and mean dimension of the tumors was 2.66±1.36 cm. Six patients were diagnosed with Cushing's disease, 22 patients with primary aldosteronism, seven patients with pheochromocytoma, one patient with metastatic adrenal gland cancer, and 18 patients with nonfunctioning adrenal tumors. Mean operative time was 88.5±27.1 min, mean blood loss was 17.4±37.4 ml, and mean duration to first oral intake was 0.83±0.4 days. Mean number of postoperative analgesics used was 2.28±2.54, and mean postoperative hospital stay was 2.85±1.43 days. There was no open conversion during the operation and no post-operative complication. Conclusion: PRA is a safe and fast procedure. In experienced hands, PRA represents one of the ideal approaching methods in the adrenal gland surgery. (Korean J Endocrine Surg 2011;11:287-291)

키워드

부신 종양, 후복막 부신절제술,Adrenal gland tumor, Posterior retroperitoneoscopic adrenalectomy