Higashihara E, Tanaka Y, Horie S, Aruga S, Nutahara K, Homma Y, Minowada S, Aso Y
Department of Urology, Faculty of Medicine, University of Tokyo.
Nihon Hinyokika Gakkai Zasshi. 1992 Jul;83(7):1130-3. doi: 10.5980/jpnjurol1989.83.1130.
Laparoscopic left adrenalectomy was performed on a 47 years old male patient with primary aldosteronism. Subcutaneous steel traction method was utilized in addition to intraperitoneal CO2 insufflation method. The combined use of steel traction method reduced CO2 insufflation pressure below 12 mmHg and might reduce possibility of CO2-related complications. A left adrenal gland was approached by a resection of phrenic colic ligament and a traction of a transverse and descending colon. Laparoscopic adrenalectomy has distinct advantages over open adrenalectomy in terms of avoidance of skin and muscle incision and rib resection, and early convalescence. This less invasive method might prevail in near future.
对一名患有原发性醛固酮增多症的47岁男性患者进行了腹腔镜左肾上腺切除术。除了腹腔内二氧化碳充气法外，还采用了皮下钢针牵引法。钢针牵引法的联合使用将二氧化碳充气压力降低至12 mmHg以下，并可能降低与二氧化碳相关并发症的可能性。通过切除膈结肠韧带并牵拉横结肠和降结肠来暴露左肾上腺。腹腔镜肾上腺切除术在避免皮肤和肌肉切口以及肋骨切除方面，以及早期康复方面，相对于开放性肾上腺切除术具有明显优势。这种侵入性较小的方法可能在不久的将来占据主导地位。
