Sholklapper Tamir, Omil-Lima Danly, Kutikov Alexander
Department of Urology, Jefferson-Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141, USA; Department of Urology, Fox Chase-Temple Urologic Institute, 333 Cottman Avenue, Philadelphia, PA 19111, USA.
Department of Urology, Fox Chase-Temple Urologic Institute, 333 Cottman Avenue, Philadelphia, PA 19111, USA.
Urol Clin North Am. 2025 May;52(2):261-273. doi: 10.1016/j.ucl.2025.01.008. Epub 2025 Feb 27.
Adrenal surgery is an established, critical tool in the management of various adrenal gland pathologies. Complete or partial adrenalectomy is employed to manage both benign lesions and malignant tumors. Beyond a technical understanding of surgical and anatomic principles, an understanding of adrenal endocrine function is essential for all surgeons who care for patients with adrenal pathologies. In this article, we provide an overview of adrenal surgery, discussing key anatomic and functional considerations, various surgical approaches, perioperative management strategies, and potential complications.
肾上腺手术是治疗各种肾上腺疾病的一种既定的关键手段。肾上腺全切术或部分切除术用于治疗良性病变和恶性肿瘤。除了对手术和解剖学原理有技术上的理解外,对于所有治疗肾上腺疾病患者的外科医生来说,了解肾上腺内分泌功能至关重要。在本文中,我们概述了肾上腺手术,讨论了关键的解剖学和功能方面的注意事项、各种手术方法、围手术期管理策略以及潜在并发症。