CAJ | 학술논문

目的探讨后腹腔镜肾上腺肿物切除术的效果及临床体会.方法采用后腹腔镜切除肾上腺肿物24例,其中肾上腺皮质腺瘤8例,嗜铬细胞瘤7例,原发性醛固酮增多症9例.结果 1例中转开放手术,23例获得成功,手术时间40～130 min,平均98 min;出血量50～300 mL,平均140mL,均未输血.术后1～2 d拔除引流管,第2天下床活动并进流食,未出现明显并发症,5～7 d出院.随访6～24月,未见复发及远期并发症.结论后腹腔镜肾上腺手术具有创伤小、出血少、显露好、操作方便、并发症少、恢复快等优点.
목적 탐토후복강경신상선종물절제술적효과급림상체회.방법 채용후복강경절제신상선종물24례,기중신상선피질선류8례,기락세포류7례,원발성철고동증다증9례.결과 1례중전개방수술,23례획득성공,수술시간40～130 min,평균98 min;출혈량50～300 mL,평균140mL,균미수혈.술후1～2 d발제인류관,제2천하상활동병진류식,미출현명현병발증,5～7 d출원.수방6～24월,미견복발급원기병발증.결론 후복강경신상선수술구유창상소、출혈소、현로호、조작방편、병발증소、회복쾌등우점.
Objective To investigate the laparoscopie resection of the adrenal tumor effects and clinical experience. Methods Among the 24 cases of Laparoscopic adrenalectomy tumors, there were 8 cases of adrenal adenoma, 7 cases of pheochromoeytoma and 9 eases primary aldosteronism. Results One ease was transit to open operation, the other 23 were successful,each surgerical time was 40～130 min with an average of 98 rain. Hemorrhage was 50～300 mL, 140 ml average, no blood transfusion. It was 1～2 d after sur- gery to remove drainage tubes, and could take some activities and have fresh flow in the second day. The pa- tients didn't appear complications and discharged after 5～7 d. Follow-up of 6～24 months, there was no recurrence and long-term complications. Conclusion Laparoscopic adrenalectomy has the advantages of minor trauma surgery, less bleeding, good demonstrating, convenient operation, fewer complications and quick recovery.