갈색세포종의 외과적 치료에서 복강경수술과 전통적인 개복수술 간의 비교 분석

• 영문명: Comparison between Laparoscopic Aderenalectomy and Conventional Open Adrenalectomy in the Treatment of Pheochromocytoma
• 발행기관: 대한내분비외과학회
• 저자명: 신현백 임혜인 길원호 최준호 이정언 윤성현 허진석 김지수 노재형 남석진 최성호 김성주 전호경 이석구 양정현 김정한 Hyun-Baek Shin Hye-In Lim Won-ho Kil Jun-Ho Choe Jeong-Eon Lee Seong-Hyeon Yun Jin-Seok Heo Jee-Soo Kim Jae-Hyung Noh Seok-Jin Nam Seong-Ho Choi Sung-Joo Kim Ho-Kyung Chun Suk-Koo Lee Jung-Hyun Yang and Jung-Han Kim
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』8권2호, 106~111쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.06.30

영문 초록

Purpose: This study comparedthe effectiveness and safety of laparoscopic adrenalectomy with conventional open adrenalectomy for the treatment of pheochromocytoma. Methods: Medical records of 100 patients who underwent surgical removal of pheochromocytoma (open adrenalectomy, n=59; laparoscopic adrenalectomy, n=39) at Samsung Medical Center from June 1995 to August 2007 were retrospectively reviewed. Results: To draw an appropriate comparison, patients with a tumor less than 7 cm in size were evaluated (open adrenalectomy, n=23; laparoscopic adrenalectomy n=31). No statistically significant differences were evident according to age, gender and tumor size. The mean operating time was 158 min for the open surgery group and 114 minfor the laparoscopic group (P＜0.01). The mean postoperative hospital stay was 10.4 days following open surgery and 5.6 days following laparoscopic surgery (P＜0.01). The mean volume of the estimated blood loss for the laparoscopic surgery group (482 ml) was less than for the open surgery group (mean 229 ml) (P=0.06), and the time to first oral intake was 1.7 days after laparoscopic adrenalectomy and 3.5 days after open surgery (P＜0.01). The frequency of using analgesics for postoperative pain after laparoscopic adrenalectomy was markedly lower than following conventional open adrenalectomy. There was no recurrence or complications during the follow-up periods (mean: 30 months). Conclusion: Laparoscopic adrenalectomy offers advantages of less postoperative pain, shorter operative time and a shorter hospital stay as compared with conventional open adrenalectomy. Laparoscopic adrenalectomy for treating pheochromocytoma is a minimally invasive alternative to conventional open adrenalectomy. (Korean J Endocrine Surg 2008;8:106-111)

키워드

갈색세포종, 복강경하 부신절제술, 전통적 개복 부신절제술,Pheochromocytoma, Laparoscopy, Adrenalectomy