Avisse C, Marcus C, Patey M, Ladam-Marcus V, Delattre J F, Flament J B
University of Reims, France.
Surg Clin North Am. 2000 Feb;80(1):403-15. doi: 10.1016/s0039-6109(05)70412-6.
Gross anatomy explains the different surgical approaches to adrenalectomy and the difficulties encountered by surgeons during this procedure. Development of the adrenal glands explains the location of the ectopic sites and excess hormone production by adrenal tumors. The choice of a surgical approach is sometimes difficult and is dependent on (1) the morphology of the body; (2) the volume of the tumor, which necessitates immediate vascular control; and (3) the type of disease, which may necessitate a complete exploration of the abdominal cavity.
大体解剖学解释了肾上腺切除术的不同手术入路以及外科医生在此手术过程中遇到的困难。肾上腺的发育解释了异位部位的位置以及肾上腺肿瘤产生过多激素的原因。手术入路的选择有时很困难，并且取决于：（1）身体形态；（2）肿瘤大小，这需要立即控制血管；（3）疾病类型，这可能需要对腹腔进行全面探查。
