복강경 부신 절제술: 111예 경험

• 영문명: Laparoscopic Adrenalectomy: Lessons Learned from 111 Consecutive Cases
• 발행기관: 대한내분비외과학회
• 저자명: 차정환 설지영 Jeong-Hwan Cha Ji-Young Sul
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』13권4호, 239~245쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2013.12.30

영문 초록

Purpose: Laparoscopic adrenalectomy has become the standard of care for a variety of benign adrenal pathologies. A total of 111 consecutive adrenalectomies were performed using a lateral transperitoneal or posterior retroperitoneal approach, each with its own inherent benefits and shortcomings. The authors compared the effectiveness and safety of posterior retroperitoneal adrenalectomy (PRA) with that of lateral transperitoneal adre-nalectomy (LTA). Methods: Medical records of 111 patients diagnosed with adrenal tumor who underwent laparoscopic adrenalectomy from January 2000 through April 2012 at Chungnam National Hospital were reviewed retrospectively. Study variables included operative time, length of hospital stay, number of days of pain control, diet beginning and advance, and compli-cations. Results: PRA was shorter in most variables, including operative time, hospital stay, first diet beginning, and full diet advance time compared with that of LTA. In pheochromocytoma less than or equal to 7 cm in size, operation time for LTA was longer than that of PRA. One PRA-specific complication was pseudo-hernia of the ipsilateral abdominal wall, which was resolved spontaneously within 1∼2 months. Conclusion: Laparoscopic adrenalectomy is a safe and effective approach to benign adrenal pathology, and PRA should be considered in patients with tumors less than or equal to 7 cm.

키워드

복강경 부신절제술, 측와위 경복막 접근술, 후방 후복막 접근술,Laparoscopic adrenalectomy, Lateral transperitoneal approach, Posterior retroperitoneal approach