Sardi A, McKinnon W M
Department of Surgery, Ochsner Clinic, New Orleans, Louisiana.
Surg Laparosc Endosc. 1994 Apr;4(2):86-91.
Advances in laparoscopic surgery have changed our approach to many surgical problems. We describe a technique of laparoscopic adrenalectomy in patients with primary aldosteronism using an anterior transabdominal approach. The left adrenal gland was approached through the root of the transverse mesocolon, the right adrenal gland through the subhepatic space. The patients were discharged within 24 to 48 h with normal blood pressure after discontinuation of antihypertensive medication. This technique is safe and allows the patient to return to normal activity sooner than with conventional surgery.
腹腔镜手术的进展改变了我们处理许多外科问题的方式。我们描述了一种采用经腹前路入路对原发性醛固酮增多症患者进行腹腔镜肾上腺切除术的技术。通过横结肠系膜根部处理左肾上腺，通过肝下间隙处理右肾上腺。患者在停用抗高血压药物后24至48小时内血压正常并出院。该技术安全，且与传统手术相比能使患者更快恢复正常活动。
