Gagner M
Department of General Surgery, Cleveland Clinic Foundation, Ohio, USA.
Surg Clin North Am. 1996 Jun;76(3):523-37. doi: 10.1016/s0039-6109(05)70459-x.
Laparoscopic adrenalectomy has become a viable option for removal of adrenal pathology and is becoming preferred over the conventional technique. With the conventional technique, many approaches are available, which vary according to pathology, diameter of the adrenal mass, location of the lesion, and patient morphology. Knowledge of anatomy is essential, because careful hemostasis and delicate tissue handling are necessary to make adrenal surgery a success.
腹腔镜肾上腺切除术已成为切除肾上腺病变的一种可行选择,并且正逐渐比传统技术更受青睐。对于传统技术而言,有多种入路可供选择,这些入路会根据病变情况、肾上腺肿块直径、病变位置以及患者形态而有所不同。解剖学知识至关重要,因为精细止血和轻柔处理组织是肾上腺手术成功的必要条件。