CAJ | 학술논문

目的探讨后腹腔镜在治疗肾上腺疾病的临床应用.方法 36例均行后腹腔镜入路行肾上腺手术.对手术方法、临床效果进行分析.结果 36例手术全部成功,手术时间85～420min,平均160min,术中失血量20～120ml,平均80ml.无膈肌、血管及胃肠道并发症.所有患者术后第2天下床活动,术后住院时间5～9天,平均7天.结论采用后腹腔镜手术治疗肾上腺疾病具有微创、安全、术后恢复快等优点,是治疗肾上腺疾病的一种理想方法.
목적 탐토후복강경재치료신상선질병적림상응용.방법 36례균행후복강경입로행신상선수술.대수술방법、림상효과진행분석.결과 36례수술전부성공,수술시간85～420min,평균160min,술중실혈량20～120ml,평균80ml.무격기、혈관급위장도병발증.소유환자술후제2천하상활동,술후주원시간5～9천,평균7천.결론 채용후복강경수술치료신상선질병구유미창、안전、술후회복쾌등우점,시치료신상선질병적일충이상방법.
Objectives To investigate the application of retroperitoneal laparoscopic surgery for adrenal disease. Methods The clinical data of 36 cases of patients underwent retroperitoneal laparosocopie were reviewed retrospectively. Results All 36 cases succeeded uneventfully. The mean surgical time was 160min (range85～ 420min) ,and the mean estimated blood loss was 80ml (20 ～ 120ml). There was no diaphragm or intraoperative or postoperative vascular and gastrointestinal complications. All patients got ambulance the postoperative day 2 and the mean hospital stay was 6 days (range5～8days). Conclusions Retroperitoneal laparoscopic surgery is minimal ivasive ,safe and faster recovery,so it is an optical method for adrenal disease.