CAJ | 학술논문

目的探讨后腹腔镜下单切口技术行肾上腺肿瘤切除手术的可行性和应用价值.方法 2009年10月至2011年1月采用后腹腔镜单切口技术对7例肾上腺肿瘤的患者实施肾上腺切除术,采用腰部腋中线切口,长约2～3 cm,置入自制的单切口Port,手术过程分别使用Cambridge endo 可弯单通道腹腔镜器械、普通腹腔镜器械等,回顾性分析患者术中、术后情况.结果 6例单切口肾上腺切除手术取得成功,未增加皮肤切口,亦未中转开放或传统腹腔镜手术;1例因肿瘤较大(直径6 cm)、术中暴露困难,改传统腹腔镜手术.平均手术时间139 min(95～200 min),平均术中出血 96ml(30～350 ml),术后住院平均时间为5 d(3-8 d),围手术期无并发症发生.结论对于肿瘤直径较小的肾上腺肿瘤,经后腹腔镜单切口肾上腺切除术是安全、可行的.
목적 탐토후복강경하단절구기술행신상선종류절제수술적가행성화응용개치.방법 2009년10월지2011년1월채용후복강경단절구기술대7례신상선종류적환자실시신상선절제술,채용요부액중선절구,장약2～3 cm,치입자제적단절구Port,수술과정분별사용Cambridge endo 가만단통도복강경기계、보통복강경기계등,회고성분석환자술중、술후정황.결과 6례단절구신상선절제수술취득성공,미증가피부절구,역미중전개방혹전통복강경수술;1례인종류교대(직경6 cm)、술중폭로곤난,개전통복강경수술.평균수술시간139 min(95～200 min),평균술중출혈 96ml(30～350 ml),술후주원평균시간위5 d(3-8 d),위수술기무병발증발생.결론 대우종류직경교소적신상선종류,경후복강경단절구신상선절제술시안전、가행적.
Objective To summarize our preliminary clinical experiences of laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy. Methods Since October 2009 to January 2011, the investigators have performed LESS retroperitoneal adrenalectomy for 7 patients with adrenal tumors. A waist axillary midline incision of around 2 - 3 cm was made and a single incision for inserting a homemade port. Cambridge endo flexible laparoscopic instrument and other common laparoscopic accessories were used during the surgical procedures. Results LESS retroperitoneal adrenalectomies were technically successful in 6 cases with no extra skin incisions, no conversion into an open procedure or standard laparoscopy.Conversion to standard laparoscopy (3 ports) was inevitable in one case. The reason for conversion was due to tumor size (6 cm). No perioperative complication occurred. The mean operative duration was 139 min (95 -200 min), the mean volume of blood loss 96 ml(30 -350 ml) and the mean hospital stay 5 d(3 -8 d). Conclusion LESS retroperitoneal adrenalectomy is technically feasible and safe for the treatment of small adrenal tumors.