Young William F, Thompson Geoffrey B
Division of Endocrinology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Arq Bras Endocrinol Metabol. 2007 Nov;51(8):1349-54. doi: 10.1590/s0004-27302007000800021.
Laparoscopic adrenalectomy is one of the most clinically important advances in the past 2 decades for the treatment of adrenal disorders. When compared to open adrenalectomy, laparoscopic adrenalectomy is equally safe, effective, and curative; it is more successful in shortening hospitalization and convalescence and has less long-term morbidity. The laparoscopic approach to the adrenal is the procedure of choice for the surgical management of cortisol-producing adenomas and for patients with corticotropin (ACTH) dependent Cushing's syndrome for whom surgery failed to remove the source of ACTH. The keys to successful laparoscopic adrenalectomy are appropriate patient selection, knowledge of anatomy, delicate tissue handling, meticulous hemostasis, and experience with the technique of laparoscopic adrenalectomy.
腹腔镜肾上腺切除术是过去20年中治疗肾上腺疾病最重要的临床进展之一。与开放性肾上腺切除术相比，腹腔镜肾上腺切除术同样安全、有效且具有治愈性；它在缩短住院时间和康复时间方面更成功，且长期发病率更低。腹腔镜肾上腺手术方法是治疗分泌皮质醇腺瘤以及促肾上腺皮质激素（ACTH）依赖性库欣综合征且手术未能切除ACTH来源患者的首选手术方式。成功实施腹腔镜肾上腺切除术的关键在于合适的患者选择、解剖知识、精细的组织处理、细致的止血以及腹腔镜肾上腺切除技术的经验。
