CAJ | 학술논문

目的探讨后腹腔镜切除肾上腺肿瘤的疗效.方法回顾分析海口市一八七医院2006年6月至2010年10月21例行后腹腔镜肾上腺肿瘤切除术的临床资料.结果术中腹膜破裂中转开放2例,19例手术顺利,手术时间55～300 min,平均90 min.术中出血10～100 ml,平均30 ml,均未输血.无大出血、感染、腹腔脏器损伤等并发症发生.19例随访3～55个月,平均12.3个月,未发现肿瘤复发和转移.结论后腹腔镜肾上腺肿瘤切除术具有安全、并发症少、疗效确切等优点.
목적 탐토후복강경절제신상선종류적료효.방법 회고분석해구시일팔칠의원2006년6월지2010년10월21례행후복강경신상선종류절제술적림상자료.결과 술중복막파렬중전개방2례,19례수술순리,수술시간55～300 min,평균90 min.술중출혈10～100 ml,평균30 ml,균미수혈.무대출혈、감염、복강장기손상등병발증발생.19례수방3～55개월,평균12.3개월,미발현종류복발화전이.결론 후복강경신상선종류절제술구유안전、병발증소、료효학절등우점.
Objective To evaluate clinical efficacy of retroperitoneal laparoscopic adrenalectomy in patients with adrenal disease.Methods 21 cases of adrenal disease undergoing retroperitoneal laparoscopic adrenalectomy from Jun.2006 to Oct.2010 were retrospectively reviewed.Results All operations were performed successfully except 2 cases were converted to open surgery due to peritoneal rupture,which resulted in difficult exposure of retroperitoneal cavity.The operation time ranged from 55 to 300 minutes,with 90 minutes as the medium.Blood loss volume ranged from 10 to 100 ml during operation (30 ml as the medium ).No blood transfusion was given.No complication such as massive hemorrhage,infection,abdominal visceral injury etc.occurred.19 patients were treated successfully and followed up from 3 to 55 months with 12.3 months as the medium.No tumor recurrence and metastasis was found in the 19 cases.Conclusion Retroperitoneal laparoscopic adrenalectomy has advantages of high safety,less complications and satisfactory efficacy in patients with adrenal diseases.