CAJ | 학술논문

目的探讨后腹腔镜在治疗肾上腺疾病中的应用.方法对2004年4月-2009年6月开展的15例后腹腔镜肾上腺手术进行回顾分析.15例中5例为皮质醇腺瘤,9例为醛固酮腺瘤,1例为嗜铬细胞瘤.结果 15例手术均获成功.手术时间60～190 min,平均120 min;失血量30～200ml,平均75ml,术中及术后均未输血.术后住院时间6～9天,平均7天,术中出现腹膜破裂2例,术后出现皮下气肿2例.结论后腹腔镜手术治疗肾上腺疾病具有对组织损伤小、出血少、术后恢复快、并发症少等优点,已成为治疗肾上腺疾病的首选治疗方法.
목적 탐토후복강경재치료신상선질병중적응용.방법 대2004년4월-2009년6월개전적15례후복강경신상선수술진행회고분석.15례중5례위피질순선류,9례위철고동선류,1례위기락세포류.결과 15례수술균획성공.수술시간60～190 min,평균120 min;실혈량30～200ml,평균75ml,술중급술후균미수혈.술후주원시간6～9천,평균7천,술중출현복막파렬2례,술후출현피하기종2례.결론 후복강경수술치료신상선질병구유대조직손상소、출혈소、술후회복쾌、병발증소등우점,이성위치료신상선질병적수선치료방법.
Objective To investigate the post-laparoscopy in the treatment of adrenal disease applications.Methods Section in April 2004-June2009 carried of laparoscopic adrenal surgery were analyzed retrosprcromocytoma..Results 15 cases of operation were successful.Operative time was 60～190min,an average of 120min; blood loss was 30～200ml,an average of 75ml ,intraoperative and plstoperative peritoneal rupture occurred in 2 Cases ,postopertive subcutaneous emphysema occurred in 2 cases.Conclusion Retropritoneal laparoscopic surgery for adrenal diseade, with the right tissue damage is small,less bleeding,rapid postoperative recovery and fewer complications,etc.,have become the treatment of choice for treatment of adrenal disease.