Stoker M E, Patwardhan N, Maini B S
Department of Surgery, Fallon Clinic, St. Vincent Hospital, Worcester, MA 01606, USA.
Surg Endosc. 1995 Apr;9(4):387-90; discussion 391. doi: 10.1007/BF00187156.
Laparoscopic adrenalectomy (LA) was performed in 6 patients (4 right and 2 left). A transperitoneal approach in a lateral position was used. Pheochromocytoma was present in two patients and Conn's syndrome, with a solitary functioning adenoma, was the diagnosis in four. Early vascular control was obtained in the two patients with pheochromocytoma, resulting in very stable intraoperative blood pressure. Operative time for LA was 152 +/- 26 min and was associated with a short length of stay (2.0 +/- 0.6 days) and minimal intraoperative blood loss (82 +/- 30 ml). There were no conversions to laparotomy and one complication was noted. LA is a safe and effective operation for patients requiring adrenalectomy for hormone-secreting tumors.
6例患者（4例右侧、2例左侧）接受了腹腔镜肾上腺切除术（LA）。采用侧卧位经腹腔入路。2例患者患有嗜铬细胞瘤，4例诊断为Conn综合征，伴有单个功能性腺瘤。2例嗜铬细胞瘤患者实现了早期血管控制，术中血压非常稳定。LA的手术时间为152±26分钟，住院时间短（2.0±0.6天），术中失血量极少（82±30毫升）。无中转开腹病例，记录到1例并发症。对于因分泌激素肿瘤而需要进行肾上腺切除术的患者，LA是一种安全有效的手术。
