Vargas H I, Walther M M
Surgical Metabolism Section, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20898-1502, USA.
Tech Urol. 1996 Fall;2(3):154-8.
Adrenalectomy can be successfully and safely carried out with a laparoscopic technique, using standard instrumentation via a transperitoneal approach. We describe five tasks to be completed by the surgeon: (a) generation of pneumoperitoneum and port placement, (b) exposure of the adrenal gland, (c) dissection of the adrenal gland, (d) clipping of the adrenal vein, and (e) removal of the adrenal gland and fascial closure of port sites. Each step is described in detail for right and left adrenalectomy. Laparoscopic adrenalectomy is advocated on the same grounds as other laparoscopic procedure, namely, decreased postoperative pain and ileus, a better cosmetic result, decreased hospital stay, and a shorter convalescent period. Some other advantages of the laparoscopic technique are: minimal extent of dissection and excellent visibility and exposure of the adrenal gland.
肾上腺切除术可以通过腹腔镜技术成功且安全地进行，采用标准器械经腹膜途径。我们描述了外科医生要完成的五项任务：（a）建立气腹和放置端口，（b）暴露肾上腺，（c）解剖肾上腺，（d）夹闭肾上腺静脉，以及（e）切除肾上腺并关闭端口部位的筋膜。详细描述了右侧和左侧肾上腺切除术的每一步。提倡腹腔镜肾上腺切除术的理由与其他腹腔镜手术相同，即术后疼痛和肠梗阻减轻、美容效果更好、住院时间缩短以及恢复期更短。腹腔镜技术的其他一些优点是：解剖范围最小以及肾上腺的可视性和暴露性极佳。
