Murphy C G, Scaramuzzi N, Winter D C, Thompson C J, Broe P J
Dept of Surgery, Beaumont Hospital, Dublin.
Ir J Med Sci. 2005 Oct-Dec;174(4):39-41. doi: 10.1007/BF03168980.
Laparoscopic adrenalectomy is an attractive alternative to open surgery, but making the transition can be difficult.
To evaluate the initial experience of a general surgical team at a single institution at making the transition.
The details of 15 patients undergoing laparoscopic adrenalectomy were prospectively recorded over a 21-month period.
Fifteen glands were removed from fifteen patients. Nine of these were left-sided. The mean gland size was 3.4 cm. Pathology included six non-functioning adenomas, four Conn's syndrome, two Cushing's syndrome and three phaeochromocytomas. Mean operating time was 74 minutes (range 31-172 minutes), with one conversion to open procedure. There were no morbidities and no mortality.
Our initial experience demonstrates this approach to be the ideal technique for removal of benign adrenal tumours with significant advantages for the patient.
腹腔镜肾上腺切除术是开放性手术的一种有吸引力的替代方法，但实现这种转变可能具有挑战性。
评估一个单一机构的普通外科团队在实现这种转变方面的初步经验。
前瞻性记录了21个月内15例行腹腔镜肾上腺切除术患者的详细情况。
从15例患者身上切除了15个肾上腺。其中9个为左侧。肾上腺平均大小为3.4厘米。病理结果包括6例无功能腺瘤、4例原发性醛固酮增多症、2例库欣综合征和3例嗜铬细胞瘤。平均手术时间为74分钟（范围31 - 172分钟），1例中转开放手术。无并发症发生，无死亡病例。
我们的初步经验表明，这种方法是切除良性肾上腺肿瘤的理想技术，对患者具有显著优势。
