Horányi J, Tihanyi T, Darvas K, Rácz K, Fütö L
I.sz. Sebészeti Klinika, Semmelweis Orvostudományi Egyetem, Budapest.
Orv Hetil. 1998 Jul 12;139(28):1689-91.
The authors performed three left and one right sided laparoscopic adrenalectomies between 3rd April and 8th August 1997. The indication of surgery was hormonally active cortical adenoma of about 2 cm size in three cases, a 6 cm large hormonally inactive tumour in one case respectively. For the operation on the left side three, on the right side four trocars with 11 mm diameter was used. The duration of the operations was between 115 and 220 min. The patients left one the second or third postoperative day, no complication was observed. The authors' opinion based on both literature data and their own experience is that laparoscopic approach to adrenalectomies is the method of choice today.
1997年4月3日至8月8日期间,作者实施了3例左侧和1例右侧腹腔镜肾上腺切除术。手术指征为:3例为大小约2厘米的有激素活性的皮质腺瘤,1例为6厘米大的无激素活性肿瘤。左侧手术使用3个、右侧手术使用4个直径11毫米的套管针。手术持续时间为115至220分钟。患者于术后第二天或第三天出院,未观察到并发症。基于文献数据和自身经验,作者认为腹腔镜肾上腺切除术是目前的首选方法。